Organization
NEUROPSYCHOLOGY ASSESSMENT AND WELLNESS, LLC
Active
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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