Individual
DR. LISA CALLIO KONICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
600 S WASHINGTON ST STE 105, NAPERVILLE, IL 60540-6665
(630) 206-4060
(855) 871-8351
Mailing address
600 S WASHINGTON ST STE 105, NAPERVILLE, IL 60540-6665
(630) 206-4060
(855) 871-8351
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
07008083
IL
103TC0700X
Clinical Psychologist
Primary
071008083
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071008083
IL
Other
Enumeration date
08/02/2011
Last updated
12/30/2022
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