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LIFESPAN NEURODEVELOPMENTAL CONSULTANTS NPI 1003221755


NPI Information

NPI: 1003221755
Provider Name: LIFESPAN NEURODEVELOPMENTAL CONSULTANTS
Classification: Clinical Neuropsychologist - 103G00000X
Entity Type: Organization
Address:
33 N DEARBORN ST
SUITE #1600
CHICAGO, IL
ZIP 60602
Phone: (847) 421-0122
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LIFESPAN NEURODEVELOPMENTAL CONSULTANTS is a clinical neuropsychologist in Chicago, IL. The provider is a clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems. LIFESPAN NEURODEVELOPMENTAL CONSULTANTS NPI is 1003221755. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

33 N DEARBORN ST
SUITE #1600
CHICAGO, IL
ZIP 60602-102
Phone: (847) 421-0122
Fax: (312) 781-6706

The provider's authorized official is Matthew Paul Richmond .
The authorized official title is Licensed Clinical Psychologist and has the following contact phone number (847) 421-0122.

The enumeration date for this NPI number is 6/20/2014 and was last updated on 6/20/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1103TB0200XPsychologistCognitive & Behavioral071008839ILLINOISNo
2103TC0700XPsychologistClinical071008839ILLINOISNo
3103TC2200XPsychologistClinical Child & Adolescent071008839ILLINOISNo
4103TF0000XPsychologistFamily071008839ILLINOISNo
5103TH0004XPsychologistHealth071008839ILLINOISNo
6103TM1800XPsychologistIntellectual and Developmental Disabilities071008839ILLINOISNo
7103TR0400XPsychologistRehabilitation071008839ILLINOISNo
8103G00000XClinical Neuropsychologist071008839ILLINOISYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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