Protean Archetypes LLC

Psychologist · Naperville, IL

Organization Active NPI

NPI number 1316712656

Practice location

29 S Webster St Ste 290d
Naperville, IL 60540-5356
Phone
(630) 632-5069

Open in Google Maps

NPI record

NPI
1316712656
Entity type
Organization (Type 2)
Enumeration date
November 16, 2023
Last updated
April 30, 2024
Certified
April 30, 2024
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Psychologist Primary 103T00000X — —

Mailing address

8928 Middleton Rd
Darien, IL 60561-8441
Phone
(630) 632-5069

Authorized official

Name
Dr. Mary Holland, PSY.D.
Title
Licensed Clinical Psychologist/Owne
Phone
(630) 632-5069

Other names

  • Protean Archetypes LLC
  • Protean Archetypes LLC

Other practice locations (1)

  • 6401 Clarendon Hills Rd Apt 305, Willowbrook, IL 60527-2119 · (630) 632-5069

About Protean Archetypes LLC

Protean Archetypes LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Psychologist (code 103T00000X). The practice location is 29 S Webster St Ste 290d, Naperville, IL 60540-5356. The NPI number 1316712656 was assigned on November 16, 2023 and the record was last updated on April 30, 2024.

The authorized official for this organization is Dr. Mary Holland, PSY.D., Licensed Clinical Psychologist/Owne.

Frequently asked questions

What is the NPI number of Protean Archetypes LLC?

The NPI number is 1316712656.

What is the phone number of Protean Archetypes LLC?

The phone number listed for the practice location is (630) 632-5069.

Where is Protean Archetypes LLC located?

29 S Webster St Ste 290d, Naperville, IL 60540-5356.

What is the taxonomy code for Protean Archetypes LLC?

The primary taxonomy code is 103T00000X – Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

Other Psychologist providers in Naperville

All Psychologist providers in Naperville, IL →