Organization
ERIKSON INSTITUTE
Active
Other names
Erikson Institute Center for Children and Families
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARGRET NICKELS PH.D (DIRECTOR/LICENSED CLINICAL PSYCHOLO)
(312) 893-7194
Entity
Organization
Contact information
Practice address
451 N LASALLE ST, CHICAGO, IL 60654-4510
(312) 893-7194
(312) 893-7229
Mailing address
451 N LASALLE ST, CHICAGO, IL 60654-4510
(312) 892-7119
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
222Q00000X
Developmental Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
01/22/2009
Last updated
02/16/2011
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