Organization
OAKLEY PSYCHOLOGICAL ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN TELFORD PSYD (OWNER)
(773) 453-6112
Entity
Organization
Contact information
Practice address
4312 N LINCOLN AVE, CHICAGO, IL 60618-1712
(773) 453-6112
Mailing address
5112 N OAKLEY AVE, CHICAGO, IL 60625-1830
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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