institution
Mindy E Forman Psyd Llc
Mental Health Clinic/Center (Including Community Mental Health Center) in Deerfield, Illinois
NPI 1225639990

Mindy E Forman Psyd Llc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Deerfield, IL and is specialized in Mental Health (Including Community Mental Health Center). Mindy E Forman Psyd Llc practices in Deerfield, IL. The NPI Number for Mindy E Forman Psyd Llc is 1225639990 and holds a License No. (Illinois).

The current practice location address for Mindy E Forman Psyd Llc is 1020 Milwaukee Ave Ste 110, Deerfield, IL and can be reached out via phone at 248-703-4880.

Location: 1020 Milwaukee Ave Ste 110, Deerfield, IL, 60015-4850
institution
Provider Profile Details
NPI Number
1225639990
Provider Name
Mindy E Forman Psyd Llc
Credential
Provider Entity Type
Organization
Address
1020 Milwaukee Ave Ste 110, Deerfield, IL, 60015-4850
Phone Number
248-703-4880
Fax Number
Provider Enumeration Date
11/07/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
NONE 01 NONE
institution
Provider Business Practice Location Address Details
Address
1020 Milwaukee Ave Ste 110
City
State
Zip
60015-3555
Phone Number
248-703-4880
Fax Number
person
Provider Business Mailing Address Details
Address
1020 Milwaukee Ave Ste 110
City
State
Zip
60015-3555
Phone Number
248-703-4880
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
License No.
()
Definition
Definition to come...
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