Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Lisa Medalie, PSYD, CBSM

Individual provider Clinical Neuropsychologist · NPI 1609175744

Dr. Lisa Medalie, PSYD, CBSM is a Clinical Neuropsychologist in Evanston, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2011
What do these letters mean?
PSYD — Doctor of Psychology
A doctoral psychologist trained primarily for clinical practice.

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Practice location Address checks out

1101 Davis St
Evanston, IL 60201-5945
Phone: (773) 702-6169
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Neuropsychologist (primary) Taxonomy 103G00000X · Licence 071.008089 (IL)

Record details

NPI number1609175744
Entity typeIndividual (Type 1)
GenderFemale
Credentials PSYD , CBSM
Sole proprietorYes
NPI enumeratedMarch 15, 2011
Last updated in NPPESMarch 29, 2024
Certification dateJune 9, 2022

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