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Michael George Mercury, PHD
Counselor in Winfield, Illinois
NPI 1104992445

Michael George Mercury is a Counselor based in Winfield, IL. Michael George Mercury practices in Winfield, IL and has the professional credentials of PHD. The NPI Number for Michael George Mercury is 1104992445 and holds a License No. 071005518 (Illinois).

The current practice location address for Michael George Mercury is 25 N Winfield Rd, Winfield, IL and can be reached out via phone at 630-933-4056 and via fax at 630-933-4057. You can also correspond with Michael George Mercury through the mailing address at 25 N WINFIELD RD, WINFIELD, IL - 60190-1295 (mailing address contact number: 630-933-4056).

Location: 25 N Winfield Rd, Winfield, IL, 60190-1295
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104992445
Provider Name
Michael George Mercury
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
25 N Winfield Rd, Winfield, IL, 60190-1295
Phone Number
630-933-4056
Fax Number
630-933-4057
Provider Enumeration Date
11/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
071005518 05 IL
F400101012 01 IL MEDICARE (INDIVIDUAL PTAN)
206147 01 IL MEDICARE (GROUP PTAN)
institution
Provider Business Practice Location Address Details
Address
25 N Winfield Rd
City
Winfield
State
Illinois
Zip
60190-1295
Phone Number
630-933-4056
Fax Number
630-933-4057
person
Provider Business Mailing Address Details
Address
25 N Winfield Rd
City
Winfield
State
Illinois
Zip
60190-1295
Phone Number
630-933-4056
Fax Number
630-933-4057
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
071005518 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
071005518 (Illinois)
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
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