Organization
SECURE START CHILD AND FAMILY PSYCHOLOGY PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDRA TABACHNICK (OWNER)
(773) 312-4809
Entity
Organization
Contact information
Practice address
1818 DEMPSTER ST, EVANSTON, IL 60202-1003
(773) 312-4809
Mailing address
1818 DEMPSTER ST, EVANSTON, IL 60202-1003
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
261QR1100X
Research Clinic/Center
—
—
Other
Enumeration date
08/18/2025
Last updated
08/18/2025
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