Heart Light Psychological Services

NPI #1003932039 in Deerfield, Illinois

Provider Information

NPI Number: 1003932039
Entity Type: Organization
Organization Name: Heart Light Psychological Services
Primary Specialty: Psychologist - Clinical
Enumeration Date: Mar 21, 2007
Last Updated: Oct 9, 2007

Practice Location

Address: 747 LAKE COOK RD STE 105W
City: Deerfield
State: Illinois
ZIP Code: 60015-4935
Phone: (847) 205-5698

Authorized Official

Name: DR. PAUL EDWARD NEVIN, PSY.D.
Title: PRESIDENT
Phone: (847) 205-5698

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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