| Black Diamond Psychological Services, Pllc | |
|
13220 Fox Ln Lemont IL 60439 | |
| (331) 253-2399 | |
| Not Available |
| Full Name | Black Diamond Psychological Services, Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 13220 Fox Ln, Lemont, Illinois |
| Authorized Official Name and Position | Daniel J Perez (PSYCHOLOGIST) |
| Authorized Official Contact | 3312532399 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Black Diamond Psychological Services, Pllc 13220 Fox Ln Lemont IL 60439-9174 Ph: (909) 312-2646 | Black Diamond Psychological Services, Pllc 13220 Fox Ln Lemont IL 60439 Ph: (331) 253-2399 |
| NPI Number | 1659144350 |
|---|---|
| Provider Enumeration Date | 11/03/2023 |
| Last Update Date | 02/15/2024 |
| Certification Date | 02/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659144350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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