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Organization
YEHI OHR - JEWISH INSTITUTE FOR PSYCHOLOGICAL ADVANCEMENT
Active
Organization
YEHI OHR - JEWISH INSTITUTE FOR PSYCHOLOGICAL ADVANCEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL CANTZ PSY.D. (EXECUTIVE DIRECTOR)
(773) 234-3870
Entity
Organization
Contact information
Practice address
3553 W PETERSON AVE, STE. 104, CHICAGO, IL 60659-3200
(773) 234-3870
Mailing address
3553 W PETERSON AVE, STE. 104, CHICAGO, IL 60659-3200
(773) 234-3870
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
073000066
IL
103TA0700X
Adult Development & Aging Psychologist
073000066
IL
103TB0200X
Cognitive & Behavioral Psychologist
073000066
IL
103TC0700X
Clinical Psychologist
Primary
073000066
IL
103TC1900X
Counseling Psychologist
073000066
IL
103TC2200X
Clinical Child & Adolescent Psychologist
073000066
IL
103TP0814X
Psychoanalysis Psychologist
073000066
IL
103TP2701X
Group Psychotherapy Psychologist
073000066
IL
Other
Enumeration date
01/10/2012
Last updated
01/10/2012
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