Michael J Di Domenico, PSYD
NPI #1861442345 in Northbrook, Illinois
Provider Information
- NPI Number
- 1861442345
- Entity Type
- Individual
- Name
- Michael J Di Domenico, PSYD
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Clinical Neuropsychologist
- Credential
- PSYD
- Enumeration Date
- May 12, 2006
- Last Updated
- Jul 25, 2022
Practice Location
- Address
- 707 SKOKIE BLVD STE 600
- City
- Northbrook
- State
- Illinois
- ZIP Code
- 60062-2841
- Phone
- (630) 632-0746
Specialties & Taxonomy Codes
| Specialty |
|---|
| Psychologist - Clinical — Clinical |
| Clinical Neuropsychologist |
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