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Organization
BEHAVORIAL HEALTH ASSOCIATES LTD
Active
Organization
BEHAVORIAL HEALTH ASSOCIATES LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NEIL R. BOCKIAN PH.D (CLINICAL PSYCHOLOGIST)
(773) 710-3493
Entity
Organization
Contact information
Practice address
8 S MICHIGAN AVE, STE 1203, CHICAGO, IL 60603-3357
(773) 710-3493
(312) 781-9594
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
(219) 926-3524
Taxonomy
Speciality
Code
Description
License number
State
103TA0700X
Adult Development & Aging Psychologist
Primary
071-005194
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14-1854431
FEDERAL TAX ID
IL
Enumeration date
04/18/2007
Last updated
06/21/2018
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