Organization
SAM MACY PSYD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SAMUEL THOMAS MACY PSYD (CLINICAL PSYCHOLOGIST)
(773) 655-0386
Entity
Organization
Contact information
Practice address
3517 W WRIGHTWOOD AVE, CHICAGO, IL 60647-1248
(773) 655-0386
Mailing address
3517 W WRIGHTWOOD AVE, CHICAGO, IL 60647-1248
(773) 655-0386
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
08/09/2022
Last updated
08/09/2022
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