Organization
ROSS PSYCHOLOGICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW R. FARRA PSY.D. (PRESIDENT)
(847) 859-9094
Entity
Organization
Contact information
Practice address
1123 EMERSON ST STE 202, EVANSTON, IL 60201-3100
(847) 859-9094
Mailing address
1123 EMERSON ST STE 202, EVANSTON, IL 60201-3100
(847) 859-9094
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007609
IL
Other
Enumeration date
03/22/2017
Last updated
10/06/2022
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