Individual provider · Type 1 NPI

Lisa Medalie, PSYD, CBSM

Clinical Neuropsychologist · Evanston, IL

NPI number 1609175744 Active

Practice location

1101 Davis St
Evanston, IL 60201-5945

Call (773) 702-6169 Map

Mailing address

1101 Davis St Ste 5767
Evanston, IL 60201-5945

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist Primary 103G00000X071.008089 (IL)

Clinical Neuropsychologist: A clinical psychologist who applies principles of assessment and intervention based upon the scientific study of human behavior as it relates to normal and abnormal functioning of the central nervous system. The specialty is dedicated to enhancing the understanding of brain-behavior relationships and the application of such knowledge to human problems.

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About NPI 1609175744

Lisa Medalie, PSYD, CBSM's National Provider Identifier is 1609175744, issued on Mar 15, 2011. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Evanston, IL. The record was last updated on Mar 29, 2024.