Organization
ADVANCED PSYCHOLOGY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE CREA-KAMMERER PSYD (OWNER)
(096) 221-4863
Entity
Organization
Contact information
Practice address
2835 N SHEFFIELD AVE STE 310, CHICAGO, IL 60657-5084
(773) 234-0695
Mailing address
3930 N PINE GROVE AVE APT 1911, CHICAGO, IL 60613-5510
(609) 221-4863
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
Primary
—
—
103TC0700X
Clinical Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/02/2021
Last updated
05/14/2024
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