Organization
CENTER FOR COMPREHENSIVE NEUROBEHAVIORAL CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LORI G TALL PSYD (EXECUTIVE DIRECTOR)
(801) 953-4371
Entity
Organization
Contact information
Practice address
65 E WACKER PL STE 300, CHICAGO, IL 60601-7203
(801) 953-4371
Mailing address
65 E WACKER PL STE 300, CHICAGO, IL 60601-7203
(801) 953-4371
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
01/08/2021
Last updated
01/08/2021
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