NPI: 1952553414
Provider Name: EUGENIE B. PABST, LLC
Former Legal Business Name: EUGENIE B PABST, LLC
Classification: Psychologist - 103TH0100X
Entity Type: Organization
Specialization: Health Service
Address:
1901 N CLYBOURN AVE
301
CHICAGO, IL
ZIP 60614
Phone: (773) 472-0560
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EUGENIE B. PABST, LLC is a health service psychologist in Chicago, IL. The provider is a psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974). EUGENIE B. PABST, LLC NPI is 1952553414. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Eugenie B Pabst, Llc.
The provider's business location address is:
1901 N CLYBOURN AVE
301
CHICAGO, IL
ZIP 60614-090
Phone: (773) 472-0560
The provider's authorized official is Eugenie B. Pabst .
The authorized official title is President and has the following contact phone number (773) 472-0560.
The enumeration date for this NPI number is 10/15/2008 and was last updated on 10/17/2008.