Unknown Individual – Psychologist, NPI 1093894248
Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
7317 N WILLOW LAKE CT
PEORIA, IL 616148260
Phone: (309) 683-7373
Fax: (309) 691-4408
Mailing address matches the actual address.
NPPES updates history
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Prescription Activity
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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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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61614)
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