GOLDSTEIN NEUROPSYCHOLOGISTS PC
Social Work at Michigan Ave, Chicago, IL

License number
Illinois 071006006
Category
Social Work
Type
Clinical Neuropsychologist
License number
Illinois 20041441A
Category
Social Work
Type
Clinical Neuropsychologist
License number
Illinois 20041441A
Category
Psychologist
Type
Psychologist
License number
Illinois 071006006
Category
Psychologist
Type
Psychologist
License number
Illinois 20041441A
Category
Social Work
Type
Adult Development & Aging
License number
Illinois 071006006
Category
Social Work
Type
Adult Development & Aging
License number
Illinois 20041441A
Category
Social Work
Type
Clinical
License number
Illinois 071006006
Category
Social Work
Type
Clinical
Owner
Name: DR. DIANA SUSAN GOLDSTEIN PH.D., ABPP
Title: PRESIDENT & CEO
Phone: (312) 212-1776
Address
Address
200 S Michigan Ave SUITE 710, Chicago, IL 60604
National Provider ID: 1063568210
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GOLDSTEIN NEUROPSYCHOLOGISTS, PC

Chicago, IL 60607

Registration:
Jun 21, 2005
State ID:
64325345
Business type:
Domestic Bca
Expiration:
Perpetual
Agent:
Diana S Goldstein,65 E Wacker Pl #2240, Chicago, IL 60601 (Physical)

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