| Shoreline Psychotherapy Llc | |
|
1940 Sherman Ave Ste A Evanston IL 60201 | |
| (330) 620-1043 | |
| Not Available |
| Full Name | Shoreline Psychotherapy Llc |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1940 Sherman Ave Ste A, Evanston, Illinois |
| Authorized Official Name and Position | Rachel Goldsmith (OWNER/MARRIAGE AND FAMILY THERAPIST) |
| Authorized Official Contact | 8478682199 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shoreline Psychotherapy Llc 620 Custer Ave Evanston IL 60202-2605 Ph: () - | Shoreline Psychotherapy Llc 1940 Sherman Ave Ste A Evanston IL 60201 Ph: (330) 620-1043 |
| NPI Number | 1942714084 |
|---|---|
| Provider Enumeration Date | 11/28/2017 |
| Last Update Date | 08/22/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942714084 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 166.001025 (Illinois) | Primary |
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