Organization
HARMONY CENTER FOR HOLISTIC PSYCHOTHERAPY
Active
Parent organization
LISA A. BREISCH, PSY.D.
Organization subpart
Yes
Provider details
NPI number
Legal business name
LISA A. BREISCH, PSY.D.
Authorized official
DR. LISA A. BREISCH PSY.D. (PSYCHOLOGIST)
(815) 639-0300
Entity
Organization
Contact information
Practice address
6625 N 2ND ST, LOVES PARK, IL 61111-3744
(815) 639-0300
(815) 639-0303
Mailing address
6625 N 2ND ST, LOVES PARK, IL 61111-3744
(815) 639-0300
(815) 639-0303
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
180003465
IL
Other
Enumeration date
10/03/2011
Last updated
10/03/2011
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