Organization
LEADING CHANGE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY L NELSON PSYD (LICENSED CLINICAL PSYCHOLOGIST)
(630) 247-5597
Entity
Organization
Contact information
Practice address
7250 COLLEGE DRIVE, SUITE 1W, PALOS HEIGHTS, IL 60463
(630) 247-5597
(630) 734-0359
Mailing address
645 JUSTINA ST, HINSDALE, IL 60521
(630) 247-5597
(630) 734-0359
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1635024
BCBS
IL
Enumeration date
12/05/2006
Last updated
08/22/2020
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