Organization
RIVERSIDE PSYCHOLOGY
Active
Organization
RIVERSIDE PSYCHOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN BALDASSARRE PSYD (OWNER)
(708) 762-9602
Entity
Organization
Contact information
Practice address
7627 LAKE ST STE 222, RIVER FOREST, IL 60305-1806
(708) 762-9602
Mailing address
7627 LAKE ST STE 222, RIVER FOREST, IL 60305-1806
(708) 762-9602
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
Other
Enumeration date
08/15/2022
Last updated
10/21/2022
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