Organization
HUMANISTIC PSYCHOLOGISTS OF CHICAGO, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REBECCA JUNE-SCHAPELER BERGEN PHD (PRESIDENT/CLINICAL PSYCHOLOGIST)
(773) 512-4656
Entity
Organization
Contact information
Practice address
1945 W WILSON AVE STE 6113, CHICAGO, IL 60640-5259
(773) 512-4656
Mailing address
1945 W WILSON AVE STE 6113, CHICAGO, IL 60640-5259
(773) 512-4656
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071007367
LICENSED CLINICAL PSYCHOLOGIST
IL
Enumeration date
03/17/2021
Last updated
03/17/2021
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