Organization
LAZZARO PSYCHOLOGICAL SERVICES, PC
Active
Other names
Lazzaro Psychological Services, PC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN RICHARD LAZZARO PH.D. (OWNER - CLINICAL PSYCHOLOGIST)
(847) 712-1445
Entity
Organization
Contact information
Practice address
36 MAIN ST STE 105, PARK RIDGE, IL 60068-4059
(847) 712-1445
Mailing address
36 MAIN ST STE 105, PARK RIDGE, IL 60068-4059
(847) 712-1445
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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