Dr. Lawrence Paul Maucieri Jr., Ph.D.
Clinical Neuropsychologist in Chicago, IL. Individual provider (NPI-1).
NPI number1457427239
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1457427239
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lawrence Paul Maucieri Jr.
- Credential
- Ph.D.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Nov 26, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103G00000X | Clinical Neuropsychologist | 071006806 | IL | Yes |
Practice location
203 N Wabash AveSuite 2106
Chicago, IL 60601-2406
Phone 773-401-9831
Mailing address
640 W Sheridan RdApartment 409
Chicago, IL 60613-3320
Phone 773-401-9831
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