| New Path Psychological Services | |
|
1404 Ironwood Cc Dr Normal IL 61761-5226 | |
| (309) 320-8942 | |
| Not Available |
| Full Name | New Path Psychological Services |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 1404 Ironwood Cc Dr, Normal, Illinois |
| Authorized Official Name and Position | Casey Perisin (OWNER) |
| Authorized Official Contact | 8479514366 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| New Path Psychological Services 1404 Ironwood Cc Dr Normal IL 61761-5226 | New Path Psychological Services 1404 Ironwood Cc Dr Normal IL 61761-5226 Ph: (309) 320-8942 |
| NPI Number | 1962144279 |
|---|---|
| Provider Enumeration Date | 04/08/2022 |
| Last Update Date | 04/08/2022 |
| Certification Date | 04/08/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962144279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | () | Primary |
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | () | Secondary |
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