Organization
IPSATIVE PSYCHOLOGY, PLLC
Active
Organization
IPSATIVE PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERICA GOODMAN PHD (OWNER)
(312) 463-9299
Entity
Organization
Contact information
Practice address
2501 CHATHAM RD # 5212, SPRINGFIELD, IL 62704-4188
(312) 463-9299
Mailing address
2501 CHATHAM RD # 5212, SPRINGFIELD, IL 62704-4188
(312) 463-9299
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/21/2024
Last updated
03/21/2024
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