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Organization
ERIKSON INSTITUTE
Active
Organization
ERIKSON INSTITUTE
Active
Other names
Erikson Institute Center for Children and Families
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGRET NICKELS PH.D (DIRECTOR/LICENSED CLINICAL PSYCHOLO)
(312) 893-7194
Entity
Organization
Contact information
Practice address
451 N LASALLE ST, CHICAGO, IL 60654-4510
(312) 893-7194
(312) 893-7229
Mailing address
451 N LASALLE ST, CHICAGO, IL 60654-4510
(312) 892-7119
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
222Q00000X
Developmental Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/22/2009
Last updated
02/16/2011
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