Organization
CONSULTING PROFESSIONALS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICAH K SWANSEY PSYD (EXECUTIVE DIRECTOR)
(708) 747-0981
Entity
Organization
Contact information
Practice address
593 BURNHAM AVE, CALUMET CITY, IL 60409-4031
(708) 832-1002
(708) 832-1099
Mailing address
PO BOX 495, GLENWOOD, IL 60425-0495
(708) 747-0981
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006944
IL
Other
Enumeration date
09/24/2006
Last updated
10/30/2008
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