Individual
DR. MERYL PANKHURST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
465 N CENTRAL AVE, SUITE 201, NORTHFIELD, IL 60093-3015
(847) 686-0090
(847) 686-0090
Mailing address
465 N CENTRAL AVE, SUITE 201, NORTHFIELD, IL 60093-3015
(847) 686-0090
(847) 686-0090
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004395
IL
Other
Enumeration date
08/06/2013
Last updated
08/06/2013
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