Lakeside Psychological Services
NPI #1396068433 in Buffalo Grove, Illinois
Provider Information
- NPI Number
- 1396068433
- Entity Type
- Organization
- Organization Name
- Lakeside Psychological Services
- Primary Specialty
- Community/Behavioral Health
- Enumeration Date
- Mar 3, 2010
- Last Updated
- Mar 3, 2010
Practice Location
- Address
- 1110 W LAKE COOK RD
- Address 2
- SUITE 150
- City
- Buffalo Grove
- State
- Illinois
- ZIP Code
- 60089-1944
- Phone
- (847) 594-2880
Authorized Official
- Name
- DR. JULIE WIEGEL, PSYD
- Title
- PRESIDENT
- Phone
- (847) 594-2880
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community/Behavioral Health |
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