Organization
MERIDIAN BEHAVIORAL HEALTH, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY BIDWELL PH.D. (DIRECTOR)
(815) 322-3280
Entity
Organization
Contact information
Practice address
3923 MERCY DR UNIT F, MCHENRY, IL 60050-3173
(815) 322-3280
(815) 308-5297
Mailing address
3923 MERCY DR UNIT F, MCHENRY, IL 60050-3173
(815) 322-3280
(815) 308-5297
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007831
IL
Other
Enumeration date
03/31/2010
Last updated
03/31/2010
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