Old Oak Psychological Health Center, LLC
NPI #1558923789 in Mt Prospect, Illinois
Provider Information
- NPI Number
- 1558923789
- Entity Type
- Organization
- Organization Name
- Old Oak Psychological Health Center, LLC
- Primary Specialty
- Clinic/Center - Adult Mental Health
- Enumeration Date
- Jul 9, 2019
- Last Updated
- Oct 8, 2019
Practice Location
- Address
- 401 E PROSPECT AVE STE 218
- City
- Mt Prospect
- State
- Illinois
- ZIP Code
- 60056-3396
- Phone
- (847) 999-3888
Authorized Official
- Name
- DR. JEREMY LUCE, MA, PSYD
- Title
- LICENSED CLINICAL PSYCHOLOGIST
- Phone
- (847) 999-3888
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health |
| Clinic/Center - Adult Mental Health — Adult Mental Health |
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