| Center For Neurobehavioral Disorders, Llc | |
|
2490 N Water St Suite 9 Decatur IL 62526-4251 | |
| (217) 877-1100 | |
| (217) 877-1101 |
| Full Name | Center For Neurobehavioral Disorders, Llc |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 2490 N Water St, Decatur, Illinois |
| Authorized Official Name and Position | Karen Elena Lee (NEUROPSYCHOLOGIST) |
| Authorized Official Contact | 2178771100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Neurobehavioral Disorders, Llc 2490 N Water St Suite 9 Decatur IL 62526-4251 Ph: (217) 877-1100 | Center For Neurobehavioral Disorders, Llc 2490 N Water St Suite 9 Decatur IL 62526-4251 Ph: (217) 877-1100 |
| NPI Number | 1710321229 |
|---|---|
| Provider Enumeration Date | 04/26/2013 |
| Last Update Date | 04/26/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710321229 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 071004726 (Illinois) | Primary |
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