Wakeful Psychological and Consulting Services, Pllc

NPI #1407329063 in Evanston, Illinois

Provider Information

NPI Number: 1407329063
Entity Type: Organization
Organization Name: Wakeful Psychological and Consulting Services, Pllc
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jan 7, 2019
Last Updated: Jul 10, 2024

Practice Location

Address: 1740 RIDGE AVE STE 200C
City: Evanston
State: Illinois
ZIP Code: 60201-5918
Phone: (312) 690-3719

Authorized Official

Name: DR. TAK-SENG LODRO, PSY.D.
Title: OWNER/EXECUTIVE DIRECTOR
Phone: (312) 810-6681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X
Psychologist	103T00000X
Psychologist - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	103TA0400X
Psychologist - Cognitive & Behavioral — Cognitive & Behavioral	103TB0200X
Psychologist - Clinical Child & Adolescent — Clinical Child & Adolescent	103TC2200X
Psychologist - Family — Family	103TF0000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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