Individual
DR. LISA A RIEMENSCHNEIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
302 RANDALL RD, GENEVA, IL 60134-4209
(630) 534-5845
(630) 208-3007
Mailing address
302 RANDALL RD, GENEVA, IL 60134-4209
(630) 534-5845
(630) 208-3007
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071-006636
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206147222
MEDICARE (INDIVIDUAL PTAN)
IL
Enumeration date
04/12/2006
Last updated
09/07/2018
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