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Dr. Samuel Brian Mcintyre, EDD
Health Service Psychologist in Peoria, Illinois
NPI 1386608008

Samuel Brian Mcintyre is a Health Service Psychologist based in Peoria, IL and is specialized in Health Service. Samuel Brian Mcintyre practices in Peoria, IL and has the professional credentials of EDD. The NPI Number for Samuel Brian Mcintyre is 1386608008 and holds a License No. (Illinois).

The current practice location address for Samuel Brian Mcintyre is 7309 N Knoxville Ave, Peoria, IL and can be reached out via phone at 309-692-9898 and via fax at 309-692-9055.

Location: 7309 N Knoxville Ave, Peoria, IL, 61614-2085
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1386608008
Provider Name
Samuel Brian Mcintyre
Credential
EDD
Provider Entity Type
Individual
Gender
Male
Address
7309 N Knoxville Ave, Peoria, IL, 61614-2085
Phone Number
309-692-9898
Fax Number
309-692-9055
Provider Enumeration Date
04/12/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
7309 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-2085
Phone Number
309-692-9898
Fax Number
309-692-9055
person
Provider Business Mailing Address Details
Address
7309 N Knoxville Ave
City
Peoria
State
Illinois
Zip
61614-2085
Phone Number
309-692-9898
Fax Number
309-692-9055
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Health Service
Taxonomy
103TH0100X
License No.
(Illinois)
Definition
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).
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