| Organization Name: | ANXIETY & AGORAPHOBIA TREATMENT CENTER, LTD. |
| NPI Number: | 1023261542 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KAREN LYNN CASSIDAY (PRESIDENT/CLINICAL PSYCHOLOGIST) |
| Mailing Address: | 1500 Skokie Blvd Suite 204 Northbrook |
| State: | IL US |
| Postal Code: | 600624121 |
| Phone Number: | 8475590001 |
| Fax Number: | 5745598438 |
| NPI Enumeration Date: | 10/28/2008 |
| NPI Last Update Date: | 10/28/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071-004439 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |