Neuro Nexus PLLC
Psychologist, Clinical in Huntley, IL. Organization (NPI-2).
NPI number1942005160
StatusActive
Last updated in NPPESApr 10, 2025
Details
- NPI
- 1942005160
- Entity type
- Organization (NPI-2)
- Legal business name
- Neuro Nexus PLLC
- Organization subpart
- No
- Enumeration date
- Feb 13, 2025
- Certification date
- Apr 10, 2025
- Last updated
- Apr 10, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | – | – | Yes |
| 103G00000X | Clinical Neuropsychologist | – | – |
Practice location
12545 Farm Hill Dr Ste 400dHuntley, IL 60142-7913
Phone 847-450-7193
Mailing address
12545 Farm Hill Dr Ste 400dHuntley, IL 60142-7913
Phone 847-450-7193
Authorized official
Carissa Harvey
Licensed Clinical Neuropsychologist
8474507193
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