Advanced Behavioral Health P C
Organization Active NPI Clinical Psychologist · Peoria, IL
NPI 1346462850 · NPPES record last updated Aug 27, 2007
Key facts
- NPI
- 1346462850
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Psychologist 103TC0700X
- Legal business name
- ADVANCED BEHAVIORAL HEALTH P C
- Practice address
- 8600 Route 91, North
Suite 240
Peoria, IL 61615 - Phone
- (309) 683-5094
- Fax
- (309) 683-5095
- NPI assigned
- May 3, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Lisa Lynne Rogers, PSY.D.
- Title
- President Clinical Psychologist
- Phone
- (309) 648-9587
Practitioners 1
-
Jean L Clore, PHD
National Provider Directory
Locations
2422 E Washington St
Ste 204
Bloomington, IL 61704
Phone (309) 789-8057
1300 Franklin Ave
Ste 181
Normal, IL 61761
Phone (309) 268-2640
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Psychologist |
103TC0700X | IL | Yes |
Addresses
Primary practice location
8600 Route 91, North
Suite 240
Peoria, IL 61615
Mailing address
20607 N Fawn CT
Chillicothe, IL 61523-9761
Phone (309) 648-9587
Other providers in Peoria, IL
- Esther Olayinka Adetola
- Dushmanthi Chamila Adhikaram
- Leena Geetha Adhikesavan
- Abigail Adjei
- Alexander Adler
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- Advanced Mobile Diagnostics, Inc.
- Advanced Orthopedics, PC
- Advantage Nursing Services, Inc
- Kapil Kiran Aedma
All providers in Peoria, IL · Clinical Psychologist in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 27, 2007. 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.