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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MICHAEL S BLACK PH D AND PARK PSYCHOLOGICAL SERVICES LTD

Active Organization

MICHAEL S BLACK PH D AND PARK PSYCHOLOGICAL SERVICES LTD is a Clinical Psychologist organization located in GLENCOE, Illinois. NPI 1407095466 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · GLENCOE, IL

Registration Details

NPI Number
1407095466
Provider Type
Organization
NPI Issued
Feb 16, 2009 (17.311234948662 yrs)
Last Updated
Feb 16, 2009
License
071-000739 (IL)

Practice Information

Address
473 PARK AVE
GLENCOE, IL, 600221549
Browse IL providers · Browse ZIP 60022
Phone
8478355517
Fax
8478353321
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Organizations in GLENCOE, IL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.