Child And Adolescent Neuropsychology Services Of Southern Illinois, Pl

LBN: Child And Adolescent Neuropsychology Services Of Southern Illinois, Pl
Child And Adolescent Neuropsychology Services Of Southern Illinois, Pl is an health care organization with primary practice located at 285 Lake Indian Hills Dr , Carbondale IL 62902-6184. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Developmental Disabilities, Ambulatory Health Care Facilities / Adolescent and Children Mental Health. Ambulatory Health Care Facilities / Adolescent and Children Mental Health is the primary health care specialty. Child And Adolescent Neuropsychology Services Of Southern Illinois, Pl can be contacted via phone (618) 490-1263, or through Kibby-Faglier, Michelle Yvonne via phone (618) 201-8828.

Contact Information

Primary practice address
285 Lake Indian Hills Dr Carbondale IL 62902-6184
Phone: (618) 490-1263
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kibby-Faglier, Michelle Yvonne PHD
Phone: (618) 201-8828

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Ambulatory Health Care Facilities / Adolescent and Children Mental Health 261QM0855X

Profile Details

NPI number 1255961348
LBN Legal business name Child And Adolescent Neuropsychology Services Of Southern Illinois, Pl
DBA Doing business as
Authorized official Kibby-Faglier, Michelle Yvonne PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jan 17th, 2020
Last updated Jan 17th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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