Organization
COGNIZANT PSYCHOLOGICAL SERVICES PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLINA M GARCIA-LEAHY PHD (OWNER AND CLINICAL PSYCHOLOGIST)
(224) 424-3087
Entity
Organization
Contact information
Practice address
51 SHERWOOD TER STE W, LAKE BLUFF, IL 60044-2232
(224) 424-3087
Mailing address
507 QUASSEY AVE, LAKE BLUFF, IL 60044-1601
(312) 399-5027
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
071.006516
IL
103TC0700X
Clinical Psychologist
Primary
071.008275
IL
Other
Enumeration date
02/21/2018
Last updated
09/03/2024
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