Organization
OUTSPOKEN THERAPY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGET DIETZ (OWNER)
(913) 808-8048
Entity
Organization
Contact information
Practice address
4707 N BROADWAY ST # 200, CHICAGO, IL 60640-4999
(312) 971-9441
Mailing address
4707 N BROADWAY ST # 200, CHICAGO, IL 60640-4999
(312) 971-9441
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/06/2024
Last updated
09/06/2024
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