| Christina Samycia Psyd, Ltd. | |
|
77 W. Washington, Ste 1704 Chicago IL 60602 | |
| (312) 285-5287 | |
| Not Available |
| Full Name | Christina Samycia Psyd, Ltd. |
|---|---|
| Speciality | Psychologist |
| Location | 77 W. Washington, Ste 1704, Chicago, Illinois |
| Authorized Official Name and Position | Christina Samycia (PSYCHOLOGIST/ PRESIDENT) |
| Authorized Official Contact | 3122855287 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Christina Samycia Psyd, Ltd. 77 W. Washington, Ste 1704 Chicago IL 60602 Ph: (312) 285-5287 | Christina Samycia Psyd, Ltd. 77 W. Washington, Ste 1704 Chicago IL 60602 Ph: (312) 285-5287 |
| NPI Number | 1467897819 |
|---|---|
| Provider Enumeration Date | 04/29/2013 |
| Last Update Date | 11/07/2016 |
| Medicare PECOS PAC ID | 8325322936 |
|---|---|
| Medicare Enrollment ID | O20170227002505 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467897819 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | 071007818 (Illinois) | Primary |
| Provider Name | Christina L Samycia |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1710217310 PECOS PAC ID: 4082874391 Enrollment ID: I20120323000387 |
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