Ellen Diamond

NPI #1013276880 in Highland Park, Illinois

Provider Information

NPI Number: 1013276880
Entity Type: Organization
Organization Name: Ellen Diamond
Primary Specialty: Psychologist
Enumeration Date: May 14, 2012
Last Updated: May 14, 2012

Practice Location

Address: 1866 SHERIDAN RD STE 207
City: Highland Park
State: Illinois
ZIP Code: 60035-2545
Phone: (847) 433-3815

Authorized Official

Name: LANA MOSHKOVICH
Title: CMM, CPC,CEMP
Phone: (847) 904-7500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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