Organization
CREATIVE PSYCHOLOGY, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LINDA BEDSOLE (OWNER)
(815) 444-8469
Entity
Organization
Contact information
Practice address
610 N. ROUTE 31, SUITE E, CRYSTAL LAKE, IL 60012-3715
(815) 444-8469
(815) 479-1709
Mailing address
610 N. ROUTE 31, SUITE E, CRYSTAL LAKE, IL 60012-3715
(815) 444-8469
(815) 479-1709
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05632073
BLUECROSS/BLUESHIELD
IL
Enumeration date
07/25/2006
Last updated
08/22/2020
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