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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
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