Organization
TUESDAY'S CHILD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGARET MARY KINCAID PHD (STAFF PSYCHOLOGIST)
(773) 423-5055
Entity
Organization
Contact information
Practice address
3633 N CALIFORNIA AVE, CHICAGO, IL 60618
(773) 423-5055
(773) 423-5054
Mailing address
3633 N CALIFORNIA AVE, CHICAGO, IL 60618
(773) 423-5055
(773) 423-5054
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
IL
106H00000X
Marriage & Family Therapist
—
—
225X00000X
Occupational Therapist
—
IL
235Z00000X
Speech-Language Pathologist
—
IL
251S00000X
Community/Behavioral Health Agency
Primary
#071.008129
IL
Other
Enumeration date
09/25/2007
Last updated
10/24/2012
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