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Michael J Di Domenico, PSYD
Clinical Neuropsychologist in Northbrook, Illinois
NPI 1861442345

Michael J Di Domenico is a Clinical Neuropsychologist based in Northbrook, IL. Michael J Di Domenico practices in Northbrook, IL and has the professional credentials of PSYD. The NPI Number for Michael J Di Domenico is 1861442345 and holds a License No. 071055762 (Illinois).

The current practice location address for Michael J Di Domenico is 707 Skokie Blvd Ste 600, Northbrook, IL and can be reached out via phone at 630-632-0746 and via fax at 847-272-8221.

Location: 707 Skokie Blvd Ste 600, Northbrook, IL, 60065-0472
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861442345
Provider Name
Michael J Di Domenico
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
707 Skokie Blvd Ste 600, Northbrook, IL, 60065-0472
Phone Number
630-632-0746
Fax Number
847-272-8221
Provider Enumeration Date
05/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1623280 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
707 Skokie Blvd Ste 600
City
Northbrook
State
Illinois
Zip
60062-2841
Phone Number
630-632-0746
Fax Number
847-272-8221
person
Provider Business Mailing Address Details
Address
707 Skokie Blvd Ste 600
City
Northbrook
State
Illinois
Zip
60062-2841
Phone Number
630-632-0746
Fax Number
847-272-8221
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Clinical Neuropsychologist
Speciality
-
Taxonomy
103G00000X
License No.
071005762 (Illinois)
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
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
071055762 (Illinois)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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