Organization
HARVARD PSYCHOLOGY AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELIZABETH SUKOWICZ PH.D. (OWNER)
(815) 814-4193
Entity
Organization
Contact information
Practice address
107 E SUMNER ST, SUITE 1, HARVARD, IL 60033-2840
(815) 814-4193
(815) 943-6540
Mailing address
107 E SUMNER ST, SUITE 1, HARVARD, IL 60033-2840
(815) 814-4193
(815) 943-6540
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006392
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1134215130
INDIVIDUAL NPI
IL
05
—
345468451001
—
IL
Enumeration date
02/27/2017
Last updated
02/27/2017
Update your record
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