Organization
AWARENESS PSYCHOLOGY CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMELIA LEE JUSTICE PSYD (CLINICAL PSYCHOLOGIST)
(815) 995-7028
Entity
Organization
Contact information
Practice address
4256 N RAVENSWOOD AVE STE 220, CHICAGO, IL 60613-1114
(815) 995-7028
Mailing address
3047 W WILSON AVE APT 1, CHICAGO, IL 60625-4331
(815) 995-7028
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0000X
Family Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
04/02/2018
Last updated
04/02/2018
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