Meridian Behavioral Health, PC

NPI #1447575550 in Mchenry, Illinois

Provider Information

NPI Number: 1447575550
Entity Type: Organization
Organization Name: Meridian Behavioral Health, PC
Primary Specialty: Psychologist - Clinical
Enumeration Date: Mar 31, 2010
Last Updated: Mar 31, 2010

Practice Location

Address: 3923 MERCY DR UNIT F
City: Mchenry
State: Illinois
ZIP Code: 60050-3173
Phone: (815) 322-3280

Authorized Official

Name: DR. JEREMY BIDWELL, PH.D.
Title: DIRECTOR
Phone: (815) 322-3280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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