John Hardie PHD Clinical Psychologist LLC
NPI #1629649157 in Northbrook, Illinois
Provider Information
- NPI Number
- 1629649157
- Entity Type
- Organization
- Organization Name
- John Hardie PHD Clinical Psychologist LLC
- Primary Specialty
- Psychologist - Clinical
- Enumeration Date
- Jul 6, 2021
- Last Updated
- Jul 6, 2021
Practice Location
- Address
- 85 REVERE DR STE G
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-8001
- Phone
- (847) 559-9343
Authorized Official
- Name
- YESENIA SERVIN, CPMSM, PESC
- Title
- CREDENTIALING MANANGER
- Phone
- (708) 979-9082
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Health Service — Health Service |
| Psychologist - Clinical — Clinical |
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