| Doctor Name: | DR. CAROL A MCDONOUGH |
| NPI Number: | 1194761759 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | 07100559 |
| Business Practice Address: | 1551 Huntington Dr Calumet City, IL - 604095440 |
| Business Phone Number: | 7087328024 |
| Business Fax Number: | 7088275068 |
| Mailing Address: | 13000 S Shawnee Rd, PALOS HEIGHTS |
| State: | IL |
| Postal Code: | 604632035 |
| Phone Number: | 7087328024 |
| Fax Number: | 7088275068 |
| NPI Enumeration Date: | 06/21/2006 |
| NPI Last Update Date: | 11/30/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103G00000X |
| License Number: | 07100559 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Clinical Neuropsychologist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual with a doctorate degree, licensure in clinical psychology and specialized training or board certification in neuropsychology who practices or adheres to the principles of neuropsychology; a specialty within the field of psychology focusing primarily on neurobehavioral functioning. |