Organization
SHARED VISION PSYCHOLOGICAL SERVICES
Active
Other names
Shared Vision Psychological Services, dba Pediatric Psychology Assoc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MYRA M. LAWRENCE PSY.D. (CEO)
(630) 571-1110
Entity
Organization
Contact information
Practice address
1200 HARGER RD, #600, OAK BROOK, IL 60523
(630) 571-5750
(630) 571-5751
Mailing address
1200 HARGER RD, #600, OAK BROOK, IL 60523
(630) 571-5750
(630) 571-5751
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
06/19/2007
Last updated
02/25/2013
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