Unknown Individual – Clinical Psychologist, NPI 1619922572
Clinical Psychologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
972, North Main Street, Churchill's Grove, Rockford, Rockford Township, Winnebago County, Illinois, 61103, United States
ROCKFORD, IL 611039652
Phone: (815) 963-5095
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 61103)
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