Organization
AO PSYCHOLOGICAL SERVICES LLC
Active
Other names
AMANDA ORI PSYD AND ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA ORI PSYD (OWNER, CLINICAL PSYCHOLOGIST)
(773) 340-0796
Entity
Organization
Contact information
Practice address
2000 N RACINE AVE STE 2184, CHICAGO, IL 60614-7007
(773) 340-0796
Mailing address
2000 N RACINE AVE STE 2184, CHICAGO, IL 60614-7007
(773) 340-0796
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477921237
NPI-1 INDIVIDUAL
—
Enumeration date
01/18/2023
Last updated
01/18/2023
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