Advanced Psychology LLC
Organization Active NPI Clinical Psychologist · Evanston, IL
NPI 1295024412 · NPPES record last updated Mar 29, 2011
Key facts
- NPI
- 1295024412
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- License
- 071008082 (IL)
- Legal business name
- ADVANCED PSYCHOLOGY LLC
- Practice address
- 2530 Crawford Ave
Suite 118
Evanston, IL 60201-4970 - Phone
- (847) 404-1384
- NPI assigned
- Mar 29, 2011
- Organization subpart
- No
Authorized official
- Name
- Dr. Luda Smikun, PSYD
- Title
- Clinical Director
- Phone
- (847) 404-1384
Practitioners 1
-
Luda Smikun, PSYD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | 071008082 | IL | Yes |
Addresses
Primary practice location
2530 Crawford Ave
Suite 118
Evanston, IL 60201-4970
Mailing address
4433 N Seminole Dr
Glenview, IL 60026-7308
Phone (847) 404-1384
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 29, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.