Unknown Individual – Psychologist, NPI 1689767386
Psychologist
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
215, South Grand Avenue West, Hawthorne Place, Springfield, Sangamon County, Illinois, 62704, United States
SPRINGFIELD, IL 627043885
Phone: (217) 744-3525
Fax: (217) 744-3535
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62704)
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