Lifespan Neurodevelopmental Consultants - Mental Health Clinic in Chicago, IL

Lifespan Neurodevelopmental Consultants is a mental health clinic (Clinical Neuropsychologist) in Chicago, Illinois. The current practice location for Lifespan Neurodevelopmental Consultants is 33 N Dearborn St, Suite #1600, Chicago, Illinois. For appointments, you can reach them via phone at (847) 421-0122. The mailing address for Lifespan Neurodevelopmental Consultants is 33 N Dearborn St, Suite #1600, Chicago, Illinois and phone number is (847) 421-0122.

Lifespan Neurodevelopmental Consultants is licensed to practice in Illinois (license number 071008839) and its NPI number is 1003221755. This medical practice does not participate in medicare program and thus may not accept your medicare insurance. You may check if they accept your insurance at (847) 421-0122.

Contact Information

Lifespan Neurodevelopmental Consultants
33 N Dearborn St
Suite #1600
Chicago
IL 60602-3102
(847) 421-0122
(312) 781-6706

Mental Health Clinic Profile

Full NameLifespan Neurodevelopmental Consultants
SpecialityClinical Neuropsychologist
Location33 N Dearborn St, Chicago, Illinois
Authorized Official Name and PositionMatthew Paul Richmond (LICENSED CLINICAL PSYCHOLOGIST)
Authorized Official Contact8474210122
Accepts Medicare InsuranceThis clinic does not participate in Medicare Program.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Lifespan Neurodevelopmental Consultants
33 N Dearborn St
Suite #1600
Chicago
IL 60602-3102

Ph: (847) 421-0122
Lifespan Neurodevelopmental Consultants
33 N Dearborn St
Suite #1600
Chicago
IL 60602-3102

Ph: (847) 421-0122

NPI Details:

NPI Number1003221755
Provider Enumeration Date06/20/2014
Last Update Date06/20/2014

Medical Identifiers

Medical identifiers for Lifespan Neurodevelopmental Consultants such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003221755NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103G00000XClinical Neuropsychologist 071008839 (Illinois)Primary
103TB0200XPsychologist - Cognitive & Behavioral 071008839 (Illinois)Secondary
103TC0700XPsychologist - Clinical 071008839 (Illinois)Secondary
103TC2200XPsychologist - Clinical Child & Adolescent 071008839 (Illinois)Secondary
103TF0000XPsychologist - Family 071008839 (Illinois)Secondary
103TH0004XPsychologist - Health 071008839 (Illinois)Secondary
103TM1800XPsychologist - Intellectual & Developmental Disabilities 071008839 (Illinois)Secondary
103TR0400XPsychologist - Rehabilitation 071008839 (Illinois)Secondary

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