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

PEORIA PSYCHOLOGICAL ASSOCIATES, P.C.

Active Organization

PEORIA PSYCHOLOGICAL ASSOCIATES, P.C. is a Clinical Psychologist organization located in PEORIA, Illinois. NPI 1427021393 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · PEORIA, IL

Registration Details

NPI Number
1427021393
Provider Type
Organization
NPI Issued
Feb 9, 2006 (20.492224867731 yrs)
Last Updated
Apr 12, 2012
Licenses
14987 (IL)
071005320 (IL)

Practice Information

Address
5505 N FAIRMONT DR
PEORIA, IL, 616144246
Browse IL providers · Browse ZIP 61614
Phone
3096896700
Fax
3096890774
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Clinical Psychologist
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.