Organization
SPRINGFIELD PSYCHOLOGICAL CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MELISSA FISHER PAONI PH.D. (PARTNER)
(217) 793-3949
Entity
Organization
Contact information
Practice address
2325 W WHITE OAKS DR, SUITE C, SPRINGFIELD, IL 62704-7419
(217) 793-3949
(217) 793-3995
Mailing address
2325 W WHITE OAKS DR, SUITE C, SPRINGFIELD, IL 62704-7419
(217) 793-3949
(217) 793-3995
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071002838
IL
103TC0700X
Clinical Psychologist
071003515
IL
103TC0700X
Clinical Psychologist
071005516
IL
103TC0700X
Clinical Psychologist
Primary
071006429
IL
1041C0700X
Clinical Social Worker
149008476
IL
Other
Enumeration date
04/18/2007
Last updated
01/12/2017
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