Doctor Name: | DR. MONA STEPANSKY |
NPI Number: | 1538486881 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 071007788 |
Business Practice Address: | 1101 Lake St Suite 306 Oak Park, IL - 603011085 |
Business Phone Number: | 7084453771 |
Business Fax Number: | 7087460445 |
Mailing Address: | 1101 Lake St, Suite 306 OAK PARK |
State: | IL |
Postal Code: | 603011085 |
Phone Number: | 7084453771 |
Fax Number: | 7087460445 |
NPI Enumeration Date: | 04/27/2010 |
NPI Last Update Date: | 03/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103G00000X |
License Number: | 071007788 |
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. |