Organization
CENTER FOR PSYCHOLOGICAL WELL BEING AND EMPOWERMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AZADEH FATEMI PH.D (PSYCHOLOGIST)
(573) 201-7742
Entity
Organization
Contact information
Practice address
2858 W DIVERSEY AVE, CHICAGO, IL 60647-1871
(312) 374-6621
Mailing address
7649 W RASCHER AVE, CHICAGO, IL 60656-1736
(573) 201-7742
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
11/28/2021
Last updated
11/28/2021
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