North Suburban Psychological Associates, Ltd.

NPI #1932336880 in Glencoe, Illinois

Provider Information

NPI Number
1932336880
Entity Type
Organization
Organization Name
North Suburban Psychological Associates, Ltd.
Primary Specialty
Psychologist
Enumeration Date
Jun 18, 2009
Last Updated
Jun 18, 2009

Practice Location

Address
630 VERNON AVE
Address 2
SUITE G
ZIP Code
60022-1681
Phone
(847) 835-1770

Authorized Official

Name
DR. SHELLEY R BUNTMAN, PH.D.
Title
VICE PRESIDENT
Phone
(847) 835-1770

Specialties & Taxonomy Codes

Specialty
Psychologist

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