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General NPI Number Information
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NPI Number | 1689434334
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Entity Type | Organization
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Legal Business Name | NEAMAN PSYCHOLOGICAL SERVICES, PLLC
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 1233 N MARION CT
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City | CHICAGO
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State | IL
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Zip | 60622-3122
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Country | US
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Telephone | 312-806-1773
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Fax |
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Provider Business Mailing Address
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Address Line | 412 S 2ND ST
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City | ST CHARLES
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State | IL
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Zip | 60174-2819
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Country | US
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Telephone | 312-806-1773
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LAUREN ANN NEAMAN
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Credential | PSY.D.
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Telephone | 312-806-1773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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