| Provider / Organization | NPI | Date Certified |
|---|---|---|
| JOSHUA C LAVIGNE | 1174896633 | 2023-11-10 |
Joshua C Lavigne [M] graduated in 2010 and primarily specializes in Psychologist, Clinical.
Joshua C Lavigne is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1174896633. Registration indicates Joshua C Lavigne is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Clinical Neuropsychologist (Behavioral Health & Social Service Providers, Clinical Neuropsychologist) (Clinical Neuropsychologist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Clinical Neuropsychologist, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Psychologist) (Behavioral Health & Social Service Providers, Psychologist) (Psychologist: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Psychologist Clinical, Behavioral Health & Social Service Providers) (Psychologist, )
| PECOS ID | 5496918013 |
| Registration | PART-B:Y DME:Y HHA:N PMD:N |
| Entity Type | Individual |
| Provider Name | Dr. Joshua C Lavigne PH.D. |
| Practice Office Address | 659 RIDGEVIEW DR MCHENRY, IL US |
| Practice Office Telephone | 8153441999 |
| Practice Office Fax | 8155165171 |
| Mailing Address | 659 RIDGEVIEW DR MCHENRY, IL 600507012 US |
| Business Telephone | 8153441999 |
| Business Fax | 8155165171 |
| Code | Practice | License No State |
|---|---|---|
| 103G00000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Clinical Neuropsychologist Behavioral Health & Social Service Providers Clinical Neuropsychologist Clinical Neuropsychologist Behavioral Health/Substance Abuse/Psychiatry Clinical Neuropsychologist Behavioral Health & Social Service Providers | 071008295
IL |
| 103TC0700X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Psychologist Behavioral Health & Social Service Providers Psychologist Psychologist: Clinical Behavioral Health/Substance Abuse/Psychiatry Psychologist Clinical Behavioral Health & Social Service Providers Psychologist | 071008295
IL |