| Plum Tree Child & Adolescent Psychology | |
|
511 Illinois Ave Saint Charles IL 60174-2152 | |
| (630) 549-6245 | |
| (630) 701-9500 |
| Full Name | Plum Tree Child & Adolescent Psychology |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 511 Illinois Ave, Saint Charles, Illinois |
| Authorized Official Name and Position | Ann Weller (OWNER) |
| Authorized Official Contact | 6305496245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Plum Tree Child & Adolescent Psychology 511 Illinois Avenue Saint Charles IL 60174 Ph: (630) 549-6245 | Plum Tree Child & Adolescent Psychology 511 Illinois Ave Saint Charles IL 60174-2152 Ph: (630) 549-6245 |
| NPI Number | 1962954495 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 04/16/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962954495 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | 071007631 (Illinois) | Primary |
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