Provider Demographics
NPI:1568173565
Name:SILVIA BOZZANO BECK, PH.D. PLLC
Entity Type:Organization
Organization Name:SILVIA BOZZANO BECK, PH.D. PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:
Authorized Official - First Name:SILVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BOZZANO BECK
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:847-309-7641
Mailing Address - Street 1:5 REVERE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-8000
Mailing Address - Country:US
Mailing Address - Phone:847-496-0040
Mailing Address - Fax:847-610-6808
Practice Address - Street 1:5 REVERE DR STE 200
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-8000
Practice Address - Country:US
Practice Address - Phone:847-496-0040
Practice Address - Fax:847-610-6808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-09
Last Update Date:2023-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)