Organization
KATHY NUGENT PHD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHLEEN M NUGENT PHD (MANAGING MEMBER)
(847) 845-2100
Entity
Organization
Contact information
Practice address
60 REVERE DR, SUITE 100, NORTHBROOK, IL 60062-1563
(847) 845-2100
Mailing address
PO BOX 506, NORTHBROOK, IL 60065-0506
(847) 845-2100
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
09/10/2015
Last updated
09/10/2015
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