Search › Illinois › 103TC0700X
Brandi Boan, PSYD
NPI 1780862219 · on the registry since 2008
Practice
- Address
- 417 N Main St
Sandwich, IL 60548 - Phone
- (630) 649-2819
- Organisation at this address
- The Brain Clinic, Llc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103G00000X
103TP0016X
101YP2500X - Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2020-10-22
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois