Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. LISA MEDALIE, PSYD, CBSM
Active Sole ProprietorDR. LISA MEDALIE, PSYD, CBSM is a Clinical Neuropsychologist healthcare provider located in EVANSTON, Illinois. NPI 1609175744 is currently active in the NPPES registry. Verify at CMS.
Clinical Neuropsychologist · EVANSTON, IL
Registration Details
- NPI Number
- 1609175744
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 15, 2011 (15.387735301361 yrs)
- Last Updated
- Mar 29, 2024
- License
-
071.008089 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1101 DAVIS STEVANSTON, IL, 602015945Browse IL providers · Browse ZIP 60201
- Phone
- 7737026169
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
Other Clinical Neuropsychologist Providers in EVANSTON, IL
| Name | Credential | NPI |
|---|---|---|
| DR. JEANNIE M. GUTIERREZ | PH.D. | 1558468025 |
| ANNE P MAXWELL | PHD | 1427146620 |
| JERRY J SWEET | PHD | 1518033869 |
| DR. ELIZABETH KATHARINE GEARY | PH.D. | 1922236595 |
| DR. AILEEN M HARTZELL | PH.D. | 1932484136 |
| DR. JULIE B EISENGART | PH.D. | 1376812792 |
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.