# UIUC PSYCHOLOGICAL SERVICES CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1982845517
- **Authorized official:** ELAINE SHPUNGIN PH.D. (DIRECTOR)
- **Authorized official phone:** (217) 333-0041

## Contact information

- **Practice address:** 505 E GREEN ST, 3RD FLOOR, CHAMPAIGN, IL 61820-5723
- **Practice address phone:** (217) 333-0041
- **Practice address fax:** (217) 333-0064
- **Mailing address:** 505 E GREEN ST, 3RD FLOOR, CHAMPAIGN, IL 61820-5723
- **Mailing address phone:** (217) 333-0041
- **Mailing address fax:** (217) 333-0064

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 03/11/2009
- **Last updated:** 03/11/2009
