IndividualActive
Courtney Viscomi, PSYD, BCBA
NPI 1649521592 · Clinical Neuropsychologist · Lake Forest, IL
Provider details
- NPI number
- 1649521592
- Entity type
- Individual
- Primary specialty
- Clinical NeuropsychologistBehavioral Health & Social Service Providers
- Credential
- PSYD, BCBA
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Behavior Analyst103K00000X
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Practice location
100 Saunders Rd Ste 150
Lake Forest, IL 60045-2526
Phone: (760) 576-9931
Approximate (ZIP-level) locationGet directions
Mailing address
1451 Merchant Dr
Algonquin, IL 60102-5917
Registry dates
- Enumerated
- 2012-10-01
- Last updated
- 2023-12-27
- Certified
- 2023-12-27
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.