Organization Name: | THE TREE HOUSE CENTER FOR GROWTH AND LEARNING |
NPI Number: | 1528460235 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE DECKER (CLINICAL PSYCHOLOGIST) |
Mailing Address: | 4160 Rfd Suite 211 Long Grove |
State: | IL US |
Postal Code: | 600479583 |
Phone Number: | 8474503189 |
Fax Number: | 8473801397 |
NPI Enumeration Date: | 09/24/2014 |
NPI Last Update Date: | 09/24/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 071007478 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |