Organization
IRVING AND ASSOCIATES IN BEHAVIORAL HEALTH PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN IRVING PHD (PRESIDENT)
(630) 241-5689
Entity
Organization
Contact information
Practice address
5201 WASHINGTON ST STE 2, DOWNERS GROVE, IL 60515-5068
(630) 241-5689
Mailing address
5201 WASHINGTON ST STE 2, DOWNERS GROVE, IL 60515-5068
(630) 241-5689
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC1900X
Counseling Psychologist
Primary
071005377
IL
Other
Enumeration date
08/26/2011
Last updated
12/15/2011
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