Organization
BOULES CLINICAL PSYCHOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GRETCHEN BOULES PSYD (CEO, CLINICAL PSYCHOLOGIST)
(630) 321-9809
Entity
Organization
Contact information
Practice address
200 S FRONTAGE RD STE 324, BURR RIDGE, IL 60527-6953
(630) 321-9809
(630) 537-1550
Mailing address
200 S FRONTAGE RD STE 324, BURR RIDGE, IL 60527-6953
(630) 321-9809
(630) 537-1550
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TP0016X
Prescribing (Medical) Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
09/02/2020
Last updated
02/08/2021
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