Doctor Name: | MAIA FEIGON |
NPI Number: | 1265880975 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 071.009267 |
Business Practice Address: | 2033 Milwaukee Ave Ste 334 Riverwoods, IL - 600153581 |
Business Phone Number: | 8005640863 |
Business Fax Number: | |
Mailing Address: | 3540 N Hermitage Ave, CHICAGO |
State: | IL |
Postal Code: | 606571218 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/03/2016 |
NPI Last Update Date: | 06/03/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 071.009267 |
Healthcare Provider Taxonomy: (Secondary) | Y |
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. |