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

DR. COURTNEY KEENE VISCOMI, PSYD, BCBA

Active

DR. COURTNEY KEENE VISCOMI, PSYD, BCBA is a Clinical Neuropsychologist healthcare provider located in LAKE FOREST, Illinois. NPI 1649521592 is currently active in the NPPES registry. Verify at CMS.

Clinical Neuropsychologist · LAKE FOREST, IL

Registration Details

NPI Number
1649521592
Provider Type
Individual
Gender
Female
NPI Issued
Oct 1, 2012 (13.844702106539 yrs)
Last Updated
Dec 27, 2023
Licenses
30968 (CA)
071.010347 (IL)

Practice Information

Address
100 SAUNDERS RD STE 150
LAKE FOREST, IL, 600452526
Browse IL providers · Browse ZIP 60045
Phone
7605769931
Primary Specialty
Clinical Neuropsychologist
103G00000X
Additional Specialty
Clinical Psychologist
Additional Specialty
Clinical Neuropsychologist

Other Clinical Neuropsychologist Providers in LAKE FOREST, IL

Name Credential NPI
AARON CHARLES MALINA PH.D. 1306914015
DR. CAREY JEANNE WOODRUFF PH.D. 1871727305
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.