Unknown Individual – Clinical Psychologist, NPI 1164659173
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
15, South Capitol Street, Downtown Business District, Pekin, Tazewell County, Illinois, 61554, United States
SUITE H
PEKIN, IL 615544100
Phone: (309) 208-7610
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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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 61554)
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