Richardson, Brian Jon

Richardson, Brian Jon is an individual health care provider with primary practice located at 3233 N Arlington Heights Rd Suite 301B, Arlington Heights IL 60004-1557. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Richardson, Brian Jon can be contacted via phone (847) 222-0793.

Contact Information

Primary practice address
3233 N Arlington Heights Rd Suite 301B Arlington Heights IL 60004-1557
Phone: (847) 222-0793
Fax: (847) 222-9769
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071004102 Illinois

Profile Details

NPI number 1316909740
LBN Legal business name Richardson, Brian Jon
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 3rd, 2006
Last updated Mar 19th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316909740 NPPES
Illinois Other 213503 MEDICARE ID

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