Embolden Clinical Services

NPI #1467643791 in Wheaton, Illinois

Provider Information

NPI Number: 1467643791
Entity Type: Organization
Organization Name: Embolden Clinical Services
Primary Specialty: Psychologist
Enumeration Date: Aug 1, 2007
Last Updated: Aug 1, 2007

Practice Location

Address: 1755 S NAPERVILLE RD
Address 2: SUITE 100
City: Wheaton
State: Illinois
ZIP Code: 60187-8144
Phone: (630) 510-3248

Authorized Official

Name: DENNIS RANDALL BOWLING, H.D.
Title: PRESIDENT
Phone: (630) 510-3248

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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