Organization
THIRD COAST PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMY J EIERMANN PH.D. (OWNER/CLINICAL DIRECTOR)
(231) 534-4341
Entity
Organization
Contact information
Practice address
1913 W 19TH ST APT 3, CHICAGO, IL 60608-7115
(231) 534-4341
Mailing address
1913 W 19TH ST APT 3, CHICAGO, IL 60608-7115
(231) 534-4341
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/17/2023
Last updated
10/17/2023
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