Child and Adolescent Neuropsychology Services of Southern Illinois, Pl
Child and Adolescent Neuropsychology Services of Southern Illinois, Pl is a Developmental Disabilities Clinic/Center in Carbondale, Illinois. Registered with an NPI since 2020.
- In the registry since
- 2020
- Specialties on file
- 2
Practice location Address checks out
285 Lake Indian Hills DrCarbondale, IL 62902-6184
Phone: (618) 490-1263
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adolescent and Children Mental Health Clinic/Center (primary) | Taxonomy 261QM0855X |
|---|---|
| Developmental Disabilities Clinic/Center | Taxonomy 261QD1600X |
Record details
| NPI number | 1255961348 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Michelle Kibby-Faglier — Clinical Neuropsychologist · (618) 201-8828 |
| NPI enumerated | January 17, 2020 |
| Last updated in NPPES | January 17, 2020 |
| Certification date | January 17, 2020 |
| Mailing address | 285 Lake Indian Hills Dr, Carbondale, IL 62902-6184 |