DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KATHLEEN MARIE NUGENT, PH.D.

Active Sole Proprietor

KATHLEEN MARIE NUGENT, PH.D. is a Clinical Neuropsychologist healthcare provider located in NORTHBROOK, Illinois. NPI 1578890018 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · NORTHBROOK, IL

Registration Details

NPI Number
1578890018
Provider Type
Individual
Gender
Female
NPI Issued
Nov 4, 2009 (16.799513390161 yrs)
Last Updated
Oct 16, 2013
Licenses
071007637 (IL)
071007637 (IL)
071007637 (IL)
071007637 (IL)
071007637 (IL)
Sole Proprietor
Yes

Practice Information

Address
60 REVERE DR
SUITE 100
NORTHBROOK, IL, 600621563
Browse IL providers · Browse ZIP 60062
Phone
2243061879
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Psychologist
Additional Specialty
Child, Clinical Psychologist

Other Clinical Neuropsychologist Providers in NORTHBROOK, IL

Name Credential NPI
MICHAEL J DI DOMENICO PSYD 1861442345
DR. JOHN BARTOK PH.D. 1639215460
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.