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Blue Lotus Neuropsychology, Pllc
Mental Health Clinic/Center (Including Community Mental Health Center) in Evanston, Illinois
NPI 1750036331

Blue Lotus Neuropsychology, Pllc is a Mental Health Clinic/Center (Including Community Mental Health Center) based in Evanston, IL and is specialized in Mental Health (Including Community Mental Health Center). Blue Lotus Neuropsychology, Pllc practices in Evanston, IL. The NPI Number for Blue Lotus Neuropsychology, Pllc is 1750036331 and holds a License No. (Illinois).

The current practice location address for Blue Lotus Neuropsychology, Pllc is 636 Church St Ste 307, Evanston, IL and can be reached out via phone at 847-220-4365. You can also correspond with Blue Lotus Neuropsychology, Pllc through the mailing address at 636 CHURCH ST STE 307, EVANSTON, IL - 60201-4579 (mailing address contact number: 847-220-4365).

Location: 636 Church St Ste 307, Evanston, IL, 60201-4579
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1750036331
Provider Name
Blue Lotus Neuropsychology, Pllc
Credential
Provider Entity Type
Organization
Address
636 Church St Ste 307, Evanston, IL, 60201-4579
Phone Number
847-220-4365
Fax Number
Provider Enumeration Date
02/13/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
636 Church St Ste 307
City
Evanston
State
Illinois
Zip
60201-4579
Phone Number
847-220-4365
Fax Number
person
Provider Business Mailing Address Details
Address
636 Church St Ste 307
City
Evanston
State
Illinois
Zip
60201-4579
Phone Number
847-220-4365
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
()
Definition
A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Mental Health (Including Community Mental Health Center)
Taxonomy
261QM0801X
License No.
()
Definition
Definition to come...
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