| Neuroclinic And Assessments, Llc | |
|
659 Ridgeview Dr Mchenry IL 60050-7012 | |
| (815) 344-1999 | |
| (815) 516-5171 |
| Full Name | Neuroclinic And Assessments, Llc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 659 Ridgeview Dr, Mchenry, Illinois |
| Authorized Official Name and Position | Joshua C. Lavigne (DIRECTOR) |
| Authorized Official Contact | 8153441999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Neuroclinic And Assessments, Llc 659 Ridgeview Dr Mchenry IL 60050-7012 Ph: (815) 344-1999 | Neuroclinic And Assessments, Llc 659 Ridgeview Dr Mchenry IL 60050-7012 Ph: (815) 344-1999 |
| NPI Number | 1053673988 |
|---|---|
| Provider Enumeration Date | 06/15/2012 |
| Last Update Date | 06/18/2024 |
| Certification Date | 06/18/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053673988 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 071008295 (Illinois) | Secondary |
| 103TC0700X | Psychologist - Clinical | 071008295 (Illinois) | Primary |
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