Organization
INSTITUTE FOR BIOBEHAVIORAL MEDICINE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUE ELLEN FOLEY PSY.D., M.B.A. (DIRECTOR)
(708) 466-7120
Entity
Organization
Contact information
Practice address
737 N MICHIGAN AVE, SUITE 1520, CHICAGO, IL 60611-2615
(773) 878-9700
Mailing address
737 N MICHIGAN AVE, SUITE 1520, CHICAGO, IL 60611-2615
(773) 878-9700
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
IL
101YM0800X
Mental Health Counselor
—
IL
103G00000X
Clinical Neuropsychologist
—
IL
103K00000X
Behavior Analyst
—
IL
103T00000X
Psychologist
—
IL
103TB0200X
Cognitive & Behavioral Psychologist
—
IL
103TC0700X
Clinical Psychologist
Primary
—
IL
103TC2200X
Clinical Child & Adolescent Psychologist
—
IL
103TF0000X
Family Psychologist
—
IL
103TF0200X
Forensic Psychologist
—
IL
103TP0814X
Psychoanalysis Psychologist
—
IL
103TP2701X
Group Psychotherapy Psychologist
—
IL
1041C0700X
Clinical Social Worker
—
IL
Other
Enumeration date
07/03/2012
Last updated
07/03/2012
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