Organization Name: | ASPEN BEHAVIORAL CARE |
NPI Number: | 1093761439 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARK FREDERICK FRAZIER (DIRECTOR) |
Mailing Address: | 1655 N Arlington Heights Rd Suite 102e Arlington Hts |
State: | IL US |
Postal Code: | 600043982 |
Phone Number: | 8472598583 |
Fax Number: | 8472598935 |
NPI Enumeration Date: | 05/26/2006 |
NPI Last Update Date: | 06/25/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Clinical Neuropsychologist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |