Organization
HEART LIGHT PSYCHOLOGICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PAUL EDWARD NEVIN PSY.D. (PRESIDENT)
(847) 205-5698
Entity
Organization
Contact information
Practice address
747 LAKE COOK RD STE 105W, DEERFIELD, IL 60015-4935
(847) 205-5698
Mailing address
747 LAKE COOK RD STE 105W, DEERFIELD, IL 60015-4935
(847) 205-5698
(847) 205-5699
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
03/21/2007
Last updated
10/09/2007
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