Organization
MIRELLE D. BLOCH, PSY.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIRELLE D BLOCH PSYD (CLINICAL PSYCHOLOGIST)
(872) 226-2313
Entity
Organization
Contact information
Practice address
1328 GREENLEAF ST UNIT 4, EVANSTON, IL 60202-1153
(872) 226-2313
(312) 312-9675
Mailing address
1328 GREENLEAF ST UNIT 4, EVANSTON, IL 60202-1153
(872) 226-2313
(312) 312-9675
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
03/06/2024
Last updated
03/06/2024
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