Organization
BAHN AND ASSOCIATES
Active
Other names
Behavioral Health Center of IL
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SARA BAHN PSYD (LICENSED CLINICAL PSYCHOLOGIST)
(217) 679-5379
Entity
Organization
Contact information
Practice address
3000 PROFESSIONAL DR STE D, BAHN CONSULTING, INC., SPRINGFIELD, IL 62703-5931
(217) 679-5379
(217) 679-5349
Mailing address
3000 PROFESSIONAL DR STE D, SPRINGFIELD, IL 62703-5931
(217) 679-5379
(217) 679-5349
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008460
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071008460
PSYCHOLOGIST LICENSE NUMBER
IL
01
—
1407163108
INDIVIDUAL NPI
—
01
—
1932408929
GROUP NPI
—
01
—
3462
PSYCHOLOGIST LICENSE NUMBER
CO
Enumeration date
01/07/2013
Last updated
03/23/2017
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