Shared Vision Psychological Services

NPI #1275738130 in Oak Brook, Illinois

Provider Information

NPI Number: 1275738130
Entity Type: Organization
Organization Name: Shared Vision Psychological Services
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jun 19, 2007
Last Updated: Feb 25, 2013

Practice Location

Address: 1200 HARGER RD
Address 2: #600
City: Oak Brook
State: Illinois
ZIP Code: 60523
Phone: (630) 571-5750

Authorized Official

Name: DR. MYRA M. LAWRENCE, PSY.D.
Title: CEO
Phone: (630) 571-1110

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community/Behavioral Health	251S00000X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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