Organization
SPECTRUM PSYCHOLOGIAL SERVICES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ASIF ALI KHAN PSY.D. (PRESIDENT)
(630) 774-8316
Entity
Organization
Contact information
Practice address
1751 S NAPERVILLE RD, SUITE 207, WHEATON, IL 60189-5896
(630) 774-8316
Mailing address
1751 S NAPERVILLE RD, SUITE 207, WHEATON, IL 60189-5896
(630) 774-8316
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005733
IL
Other
Enumeration date
01/19/2012
Last updated
01/19/2012
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