BANNER CLINICAL & PERFORMANCE PSYCHOLOGY LLC
Organization (NPI-2)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1578409132- Provider Type
- Organization / Facility (NPI-2)
- Status
- Active
Contact & Location
- Address
- 2703 N MISSION RD, PEORIA, IL, 616042343
- Phone
- (618) 554-2664
Specialties & Taxonomies
Psychologist, Clinical
Primary