Power
NPI #1700389152 in Bolingbrook, Illinois
Provider Information
- NPI Number
- 1700389152
- Entity Type
- Organization
- Organization Name
- Power
- Primary Specialty
- Psychologist - School
- Enumeration Date
- Mar 12, 2018
- Last Updated
- Mar 12, 2018
Practice Location
- Address
- 682 W BOUGHTON RD STE D
- City
- Bolingbrook
- State
- Illinois
- ZIP Code
- 60440-2199
- Phone
- (630) 398-6204
Authorized Official
- Name
- LATEENA SMITH, EDS
- Title
- OWNER/PSYCHOLOGIST PROVIDER
- Phone
- (630) 398-6204
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - School — School |
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