Organization
BLACK DIAMOND PSYCHOLOGICAL SERVICES, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL J PEREZ PSY.D. (PSYCHOLOGIST)
(331) 253-2399
Entity
Organization
Contact information
Practice address
13220 FOX LN, LEMONT, IL 60439
(331) 253-2399
Mailing address
13220 FOX LN, LEMONT, IL 60439-9174
(909) 312-2646
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
11/03/2023
Last updated
02/15/2024
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