| Shared Vision Psychological Services, Dba Pediatric Psychology Assoc. | |
|
1200 Harger Rd #600 Oak Brook IL 60523 | |
| (630) 571-5750 | |
| (630) 571-5751 |
| Full Name | Shared Vision Psychological Services, Dba Pediatric Psychology Assoc. |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 1200 Harger Rd, Oak Brook, Illinois |
| Authorized Official Name and Position | Myra M. Lawrence (CEO) |
| Authorized Official Contact | 6305711110 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Shared Vision Psychological Services, Dba Pediatric Psychology Assoc. 1200 Harger Rd #600 Oak Brook IL 60523 Ph: (630) 571-5750 | Shared Vision Psychological Services, Dba Pediatric Psychology Assoc. 1200 Harger Rd #600 Oak Brook IL 60523 Ph: (630) 571-5750 |
| NPI Number | 1275738130 |
|---|---|
| Provider Enumeration Date | 06/19/2007 |
| Last Update Date | 02/25/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275738130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
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