Organization
PSYCHONE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J DEWITT PHD (OWNER)
(847) 392-5688
Entity
Organization
Contact information
Practice address
130 HARRISON ST, BARRINGTON, IL 60010
(847) 382-5688
(847) 382-5697
Mailing address
130 HARRISON ST, BARRINGTON, IL 60010
(847) 382-5688
(847) 382-5697
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
060-006541
IL
Other
Enumeration date
12/20/2006
Last updated
09/01/2010
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