| S. C. Valessares, Psy.d., Inc. | |
|
3 Squire Ln St Charles IL 60174-1413 | |
| (630) 881-7601 | |
| (630) 513-6839 |
| Full Name | S. C. Valessares, Psy.d., Inc. |
|---|---|
| Speciality | Clinical Neuropsychologist |
| Location | 3 Squire Ln, St Charles, Illinois |
| Authorized Official Name and Position | Susan Christine Valessares (PRESIDENT) |
| Authorized Official Contact | 6308817601 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| S. C. Valessares, Psy.d., Inc. 3 Squire Ln St Charles IL 60174-1413 Ph: (630) 881-7601 | S. C. Valessares, Psy.d., Inc. 3 Squire Ln St Charles IL 60174-1413 Ph: (630) 881-7601 |
| NPI Number | 1962666362 |
|---|---|
| Provider Enumeration Date | 07/15/2008 |
| Last Update Date | 07/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962666362 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 071-006810 (Illinois) | Primary |
| 103TC0700X | Psychologist - Clinical | 071-006810 (Illinois) | Secondary |
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