Psychological Associates Professionals Llc

LBN: Psychological Associates Professionals Llc
Psychological Associates Professionals Llc is an health care organization with primary practice located at 5409 N Knoxville Ave , Peoria IL 61614. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Psychological Associates Professionals Llc can be contacted via phone (309) 691-0420, or through Legan, Donald R via phone (309) 691-0420.

Contact Information

Primary practice address
5409 N Knoxville Ave Peoria IL 61614
Fax: (309) 691-0520
Website:
Authorized official contact:
Name: Legan, Donald R ED D

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 71002085 Illinois

Profile Details

NPI number 1952378192
LBN Legal business name Psychological Associates Professionals Llc
DBA Doing business as
Authorized official Legan, Donald R ED D
Entity Organization
Organization subpart 1 No
Enumeration date Mar 7th, 2006
Last updated Aug 17th, 2017 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952378192 NPPES
Other 07220997 BCBS
Other L015956 BCBS

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