Organization
ALLIED PSYCHOLOGICAL SERVICES LTD
Active
Parent organization
ALLIED PSYCHOLOGICAL SERVICES INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALLIED PSYCHOLOGICAL SERVICES INC.
Authorized official
WAYNE PREPURA PHD (PRESIDENT)
(847) 680-3828
Entity
Organization
Contact information
Practice address
501 PETERSON RD STE 101, LIBERTYVILLE, IL 60048-1082
(847) 680-3828
(847) 680-3844
Mailing address
501 PETERSON RD STE 101, LIBERTYVILLE, IL 60048-1082
(847) 680-3828
(847) 680-3844
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6392
IL
101YA0400X
Addiction (Substance Use Disorder) Counselor
6393
IL
101YP2500X
Professional Counselor
180001252
IL
103T00000X
Psychologist
071002565
IL
103TC0700X
Clinical Psychologist
Primary
071002565
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4923581
BLUE CROSS BLUE SHIELD
IL
Enumeration date
03/27/2008
Last updated
10/20/2016
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