Individual provider · Type 1 NPI

Michael J. Di Domenico, PSYD

Clinical Neuropsychologist · Northbrook, IL

NPI number 1861442345 Active

Practice location

707 Skokie Blvd Ste 600
Northbrook, IL 60062-2841

Fax (847) 272-8221

Mailing address

PO Box 472
Northbrook, IL 60065-0472

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X071055762 (IL)
Clinical Psychologist 103TC0700X071005762 (IL)
Clinical Neuropsychologist Primary 103G00000X071005762 (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 1861442345

Michael J. Di Domenico, PSYD's National Provider Identifier is 1861442345, issued on May 12, 2006. The primary taxonomy on file is Clinical Neuropsychologist (103G00000X), and the practice location is in Northbrook, IL. The record was last updated on Jul 25, 2022.