Provider Demographics
NPI:1093274714
Name:SPRINGER, MARIA THERESA (MA)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:THERESA
Last Name:SPRINGER
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 S MICHIGAN AVE STE 618
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60603-3469
Mailing Address - Country:US
Mailing Address - Phone:312-262-3024
Mailing Address - Fax:
Practice Address - Street 1:8 S MICHIGAN AVE STE 618
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60603-3469
Practice Address - Country:US
Practice Address - Phone:312-263-3024
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-13
Last Update Date:2019-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178.014173103TP2701X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TP2701XBehavioral Health & Social Service ProvidersPsychologistGroup Psychotherapy