Organization
CHICAGO COGNITIVE BEHAVIORAL TREATMENT CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA LOUISE HOLLY PH.D. (CLINICAL PSYCHOLOGIST)
(773) 680-0922
Entity
Organization
Contact information
Practice address
4711 GOLF RD STE 520, SKOKIE, IL 60076-1224
(847) 966-9343
(847) 966-9536
Mailing address
4711 GOLF RD STE 520, SKOKIE, IL 60076-1224
(847) 966-9343
(847) 966-9536
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
IL
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
04/02/2010
Last updated
03/17/2018
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