Envision Psychological Services, P.c.

NPI #1477855328 in Cary, Illinois

Provider Information

NPI Number: 1477855328
Entity Type: Organization
Organization Name: Envision Psychological Services, P.c.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Nov 29, 2010
Last Updated: Nov 29, 2010

Practice Location

Address: 1100 COUGAR TRL
City: Cary
State: Illinois
ZIP Code: 60013-6057
Phone: (815) 388-9071

Authorized Official

Name: DR. SUSAN M STASEK, PSYD
Title: CLINICAL PSYCHOLOGIST
Phone: (815) 388-9071

Specialties & Taxonomy Codes

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

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