Provider Demographics
NPI:1427228204
Name:PSYCHOLOGICAL SOLUTIONS INSTITUTE
Entity Type:Organization
Organization Name:PSYCHOLOGICAL SOLUTIONS INSTITUTE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PSYCHOLOGIST-CLINICAL
Authorized Official - Prefix:DR
Authorized Official - First Name:M.
Authorized Official - Middle Name:JOANN
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:630-786-5260
Mailing Address - Street 1:6010 ROUTE 53
Mailing Address - Street 2:SUITE B
Mailing Address - City:LISLE
Mailing Address - State:IL
Mailing Address - Zip Code:60532-3390
Mailing Address - Country:US
Mailing Address - Phone:630-786-5260
Mailing Address - Fax:
Practice Address - Street 1:6010 ROUTE 53
Practice Address - Street 2:SUITE B
Practice Address - City:LISLE
Practice Address - State:IL
Practice Address - Zip Code:60532-3390
Practice Address - Country:US
Practice Address - Phone:630-786-5260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-07
Last Update Date:2011-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL71007244103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL1932325701OtherNPI