Organization
THE BRAIN BOUTIQUE, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA SCHNIBBEN PSY.D. (CLINICAL PSYCHOLOGIST)
(773) 401-0495
Entity
Organization
Contact information
Practice address
50 S MAIN ST STE 200, NAPERVILLE, IL 60540-5485
(773) 401-0495
Mailing address
815 GEORGETOWN DRIVE, OSWEGO, IL, USA, OSWEGO, IL 60543-5485
(773) 401-0495
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
01/12/2021
Last updated
10/24/2022
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