Organization
NEUROCLINIC AND ASSESSMENTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA C. LAVIGNE PH.D (DIRECTOR)
(815) 344-1999
Entity
Organization
Contact information
Practice address
659 RIDGEVIEW DR, MCHENRY, IL 60050-7012
(815) 344-1999
(815) 516-5171
Mailing address
659 RIDGEVIEW DR, MCHENRY, IL 60050-7012
(815) 344-1999
(815) 516-5171
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071008295
IL
103TC0700X
Clinical Psychologist
Primary
071008295
IL
Other
Enumeration date
06/15/2012
Last updated
06/18/2024
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