Individual
DR. ROBERT NEIL LUSK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1100 BEECH ST., BLDG. 7, NORMAL, IL 61761
(309) 454-1770
(309) 454-9257
Mailing address
612 OGLESBY AVE., NORMAL, IL 61761
(309) 454-1770
(309) 454-9257
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-004615
IL
Other
Enumeration date
02/03/2009
Last updated
02/03/2009
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