| Mental Health Partnership Ltd | |
|
1625 Bethany Rd Sycamore IL 60178-3124 | |
| (815) 403-9463 | |
| Not Available |
| Full Name | Mental Health Partnership Ltd |
|---|---|
| Speciality | Psychologist |
| Location | 1625 Bethany Rd, Sycamore, Illinois |
| Authorized Official Name and Position | Erica Marie Veach (LICENSED CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 8154039463 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mental Health Partnership Ltd 1625 Bethany Rd Sycamore IL 60178-3124 Ph: (815) 403-9463 | Mental Health Partnership Ltd 1625 Bethany Rd Sycamore IL 60178-3124 Ph: (815) 403-9463 |
| NPI Number | 1205507407 |
|---|---|
| Provider Enumeration Date | 09/27/2021 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Medicare PECOS PAC ID | 8527438605 |
|---|---|
| Medicare Enrollment ID | O20230106000059 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205507407 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| Provider Name | Erica M Veach |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1700321106 PECOS PAC ID: 7911238829 Enrollment ID: I20191008000370 |
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