Organization
PSYCHSYNERGY BEHAVIORAL HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN RAMON HUMPHREY PSY.D. (PSYCHOLOGIST/ OFFICE MANAGER)
(708) 232-3724
Entity
Organization
Contact information
Practice address
527 S CUYLER AVE, SUITE 1, OAK PARK, IL 60304-1502
(708) 232-3724
Mailing address
527 S CUYLER AVE, SUITE 1, OAK PARK, IL 60304-1502
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
071000008646
IL
Other
Enumeration date
10/03/2016
Last updated
10/03/2016
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