New Path Psychological Services

NPI #1962144279 in Normal, Illinois

Provider Information

NPI Number: 1962144279
Entity Type: Organization
Organization Name: New Path Psychological Services
Primary Specialty: Clinic/Center - Adult Mental Health
Enumeration Date: Apr 8, 2022
Last Updated: Apr 8, 2022

Practice Location

Address: 1404 IRONWOOD CC DR
City: Normal
State: Illinois
ZIP Code: 61761-5226
Phone: (309) 320-8942

Authorized Official

Name: CASEY PERISIN, PSY.D
Title: OWNER
Phone: (847) 951-4366

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X	Primary

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