Provider Demographics
NPI:1285186825
Name:DR CHRISTY MCELROY PSYD
Entity type:Organization
Organization Name:DR CHRISTY MCELROY PSYD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTY
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:MCELROY
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-306-6885
Mailing Address - Street 1:3530 VOLTAIRE LN
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60175-1096
Mailing Address - Country:US
Mailing Address - Phone:630-306-6885
Mailing Address - Fax:
Practice Address - Street 1:3530 VOLTAIRE LN
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60175-1096
Practice Address - Country:US
Practice Address - Phone:630-306-6885
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-31
Last Update Date:2016-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180.008454101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty