Organization
NEUROPSYCHOLOGY ASSESSMENT AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BETH BOROSH PH.D. (CLINICAL PSYCHOLOGIST)
(312) 848-1718
Entity
Organization
Contact information
Practice address
645 N MICHIGAN AVE STE 803, CHICAGO, IL 60611-5123
(312) 848-1718
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
(219) 926-3524
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071007239
IL
Other
Enumeration date
11/04/2012
Last updated
07/02/2013
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