Organization
KIVA PSYCHOLOGICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BROOKE HALPERN PSYD (PSYCHOLOGIST/OWNER)
(847) 686-1803
Entity
Organization
Contact information
Practice address
636 CHURCH ST STE 507, EVANSTON, IL 60201-4581
(847) 686-1803
Mailing address
636 CHURCH ST STE 507, EVANSTON, IL 60201-4581
(847) 686-1803
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
02/05/2020
Last updated
02/05/2020
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