Organization
MEAGAN M. DIVITO, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MEAGAN DIVITO PSY.D. (PRESIDENT/OWNER)
(847) 701-4207
Entity
Organization
Contact information
Practice address
550 FOX GLEN CT, BARRINGTON, IL 60010-1833
(847) 701-4207
Mailing address
550 FOX GLEN CT, BARRINGTON, IL 60010-1833
(847) 701-4207
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
060011916
IL
Other
Enumeration date
01/17/2017
Last updated
01/17/2017
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