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Organization
SECURE START CHILD AND FAMILY PSYCHOLOGY PLLC
Active
Organization
SECURE START CHILD AND FAMILY PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA TABACHNICK (OWNER)
(773) 312-4809
Entity
Organization
Contact information
Practice address
1818 DEMPSTER ST, EVANSTON, IL 60202-1003
(773) 312-4809
Mailing address
1818 DEMPSTER ST, EVANSTON, IL 60202-1003
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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