Organization
CL PSYCHOTHERAPY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSAN QUAY LOVE PHD (CLINICAL PSYCHOLOGIST)
(312) 372-3211
Entity
Organization
Contact information
Practice address
180 N MICHIGAN AVE, SUITE 2222, CHICAGO, IL 60601-7401
(312) 372-3211
(312) 372-4822
Mailing address
180 N MICHIGAN AVE, SUITE 2222, CHICAGO, IL 60601-7401
(312) 372-3211
(312) 372-4822
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
071-003380
IL
103TC0700X
Clinical Psychologist
Primary
071-003380
IL
1041C0700X
Clinical Social Worker
149-004929
IL
Other
Enumeration date
02/21/2010
Last updated
02/21/2010
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