Organization
FOR REAL THERAPY INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FABRICE ROBERT LUBIN PSYD (CLINICAL SUPERVISOR)
(773) 888-1681
Entity
Organization
Contact information
Practice address
1564 N DAMEN AVE STE 208, CHICAGO, IL 60622-2102
(773) 888-1681
Mailing address
1951 W SUNNYSIDE AVE APT 1, CHICAGO, IL 60640-5861
(954) 559-0073
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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