Organization
CENTER FOR ASSESSMENT AND PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA M KLCO PSY D (CLINICAL PSYCHOLOGIST)
(630) 546-6803
Entity
Organization
Contact information
Practice address
400 W LIBERTY, SUITE C, WHEATON, IL 60187
(630) 260-1570
(630) 260-1576
Mailing address
400 W LIBERTY, SUITE C, WHEATON, IL 60187
(630) 260-1570
(630) 260-1576
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006135
IL
103TC0700X
Clinical Psychologist
71007031
IL
1041C0700X
Clinical Social Worker
149010619
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2232532
BC
—
Enumeration date
12/06/2006
Last updated
06/24/2008
Update your record
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