Organization
MEGAN E. PIETRUCHA, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN E. PIETRUCHA PSY.D. (CLINICAL PSYCHOLOGIST)
(773) 609-5855
Entity
Organization
Contact information
Practice address
70 E LAKE ST STE 222, CHICAGO, IL 60601-7649
(773) 609-5855
Mailing address
70 E LAKE ST STE 222, CHICAGO, IL 60601-7649
(773) 609-5855
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
071008783
IL
Other
Enumeration date
07/01/2015
Last updated
07/01/2015
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