Organization
MIND GUT THERAPY CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH KINSINGER PHD (PSYCHOLOGIST)
(312) 576-5083
Entity
Organization
Contact information
Practice address
1114 S WAIOLA AVE, LA GRANGE, IL 60525-6627
(312) 576-5083
Mailing address
2501 CHATHAM RD STE N, SPRINGFIELD, IL 62704-4188
Taxonomy
Speciality
Code
Description
License number
State
103TH0004X
Health Psychologist
Primary
—
—
Other
Enumeration date
05/17/2021
Last updated
05/17/2021
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