| Ross Psychological Group, Inc. | |
|
1123 Emerson St Ste 202 Evanston IL 60201-3100 | |
| (847) 859-9094 | |
| Not Available |
| Full Name | Ross Psychological Group, Inc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1123 Emerson St Ste 202, Evanston, Illinois |
| Authorized Official Name and Position | Andrew R. Farra (PRESIDENT) |
| Authorized Official Contact | 8478599094 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ross Psychological Group, Inc. 1123 Emerson St Ste 202 Evanston IL 60201-3100 Ph: (847) 859-9094 | Ross Psychological Group, Inc. 1123 Emerson St Ste 202 Evanston IL 60201-3100 Ph: (847) 859-9094 |
| NPI Number | 1003347949 |
|---|---|
| Provider Enumeration Date | 03/22/2017 |
| Last Update Date | 10/06/2022 |
| Certification Date | 10/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003347949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 071007609 (Illinois) | Primary |
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