Unknown Individual – Clinical Psychologist, NPI 1831106970
Clinical Psychologist
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Provider Addresses for Unknown Individual
800, West Main Street, Carbondale, Jackson County, Illinois, 62901, United States
CARBONDALE, IL 629012538
Phone: (618) 529-2273
Fax: (618) 549-8321
Mailing address matches the actual address.
NPPES updates history
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
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Insurance plans in this area (ZIP 62901)
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