Organization
REDEFINE PSYCHOTHERAPY LLC
Active
Organization
REDEFINE PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE MALTERS LCP (OWNER)
(872) 666-1287
Entity
Organization
Contact information
Practice address
1700 W IRVING PARK RD STE 205B, CHICAGO, IL 60613-2599
(872) 666-1287
Mailing address
1700 W IRVING PARK RD STE 205B, CHICAGO, IL 60613-2599
(872) 666-1287
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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