Organization
THRESHOLD OF HOPE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARITY R LANE PSYD (CLINICAL PSYCHOLOGIST)
(630) 384-9778
Entity
Organization
Contact information
Practice address
615 W FRONT ST, WHEATON, IL 60187-5039
(630) 384-9778
Mailing address
615 W FRONT ST, WHEATON, IL 60187-5039
(260) 494-7037
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/14/2023
Last updated
02/14/2023
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