| Valentini Therapy Llc | |
|
400 W Roosevelt Rd Wheaton IL 60187-2329 | |
| (630) 632-5158 | |
| Not Available |
| Full Name | Valentini Therapy Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 400 W Roosevelt Rd, Wheaton, Illinois |
| Authorized Official Name and Position | Concordia Valentini (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 6306325158 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Valentini Therapy Llc 1020 E Kenilworth Ave Lombard IL 60148-3146 Ph: (630) 632-5158 | Valentini Therapy Llc 400 W Roosevelt Rd Wheaton IL 60187-2329 Ph: (630) 632-5158 |
| NPI Number | 1568969780 |
|---|---|
| Provider Enumeration Date | 04/13/2018 |
| Last Update Date | 04/13/2018 |
| Medicare PECOS PAC ID | 3072868892 |
|---|---|
| Medicare Enrollment ID | O20180620000488 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568969780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 071-006131 (Illinois) | Primary |
| Provider Name | Concordia M Valentini |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1104885334 PECOS PAC ID: 3870760796 Enrollment ID: I20120118000283 |
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