| Stress & Trauma Treatment Center | |
|
1200 Locust St Eldorado IL 62930-1723 | |
| (270) 997-1065 | |
| (618) 216-9993 |
| Full Name | Stress & Trauma Treatment Center |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 1200 Locust St, Eldorado, Illinois |
| Authorized Official Name and Position | Donald Matt Buckman (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 2709971065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Stress & Trauma Treatment Center 1200 Locust St Eldorado IL 62930-1723 Ph: (270) 997-1065 | Stress & Trauma Treatment Center 1200 Locust St Eldorado IL 62930-1723 Ph: (270) 997-1065 |
| NPI Number | 1700342532 |
|---|---|
| Provider Enumeration Date | 02/18/2019 |
| Last Update Date | 05/18/2021 |
| Certification Date | 05/18/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700342532 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
Egyptian Public And Mental Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1412 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-3326 Fax: 618-273-2808 | |
Egyptian Public And Mental Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1412 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-3326 Fax: 618-273-2808 | |
Egyptian Public And Mental Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1412 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-3326 Fax: 618-273-2808 | |
Egyptian Public And Mental Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1418 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-3326 Fax: 618-273-2808 | |
Egyptian Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1412 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-3326 Fax: 618-273-2808 | |
Egyptian Health Department Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1412 Us Highway 45 N, Eldorado, IL 62930 Phone: 618-273-3326 Fax: 618-273-3585 |