Southern Illinois Neuropsychology LLC
Southern Illinois Neuropsychology LLC provides Clinical Neuropsychologist services in Edwardsville, Illinois. Licensed in Illinois. Registered with an NPI since 2018.
- Licensed in
- IL
- In the registry since
- 2018
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
60 S State Route 157Edwardsville, IL 62025
Phone: (618) 391-4021
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Neuropsychologist (primary) | Taxonomy 103G00000X · Licence 071009269 (IL) |
|---|
Record details
| NPI number | 1861909509 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Phillip Ruppert — Owner · (618) 391-4021 |
| NPI enumerated | January 3, 2018 |
| Last updated in NPPES | February 10, 2022 |
| Certification date | February 10, 2022 |
| Mailing address | 1 Oak Dr Unit 352, Maryville, IL 62062-7026 |