Whalio Doctors

NPI 1003221755

Lifespan Neurodevelopmental Consultants

Organisation Clinical Neuropsychologist Chicago, IL

Practice location

Address
33 N Dearborn St Suite #1600, Chicago, IL 60602-3102
Phone
(847) 421-0122
Fax
(312) 781-6706

Authorised official

Name
Matthew Paul Richmond
Title
Licensed Clinical Psychologist
Phone
(847) 421-0122

Registered specialties (8)

Clinical Neuropsychologist Primary
Behavioral Health & Social Service Providers Taxonomy 103G00000X Licence 071008839 (IL)
Cognitive & Behavioral Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TB0200X Licence 071008839 (IL)
Clinical Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 071008839 (IL)
Clinical Child & Adolescent Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TC2200X Licence 071008839 (IL)
Family Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TF0000X Licence 071008839 (IL)
Health Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TH0004X Licence 071008839 (IL)
Intellectual & Developmental Disabilities Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TM1800X Licence 071008839 (IL)
Rehabilitation Psychologist
Behavioral Health & Social Service Providers Taxonomy 103TR0400X Licence 071008839 (IL)

Registry record

NPI
1003221755
Entity type
Organization
NPI issued
20 Jun 2014
Record last updated
20 Jun 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.