Organization
BE INTEGRATIVE PSYCHOLOGY, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REGINA BRIAN (MANAGER)
(309) 863-5255
Entity
Organization
Contact information
Practice address
300 RED BUD MEMORIAL DRIVE, PEKIN, IL 61554
(309) 863-5255
Mailing address
300 RED BUD MEMORIAL DRIVE, PEKIN, IL 61554
(309) 863-5255
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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