Provider Demographics
NPI:1629957428
Name:NEUROCLARITY CENTER, PLLC
Entity type:Organization
Organization Name:NEUROCLARITY CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NEUROPSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:PAOULA
Authorized Official - Middle Name:D
Authorized Official - Last Name:JEDZINIAK
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:773-431-1728
Mailing Address - Street 1:350 W KENSINGTON RD STE 111
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-1141
Mailing Address - Country:US
Mailing Address - Phone:773-431-1728
Mailing Address - Fax:
Practice Address - Street 1:350 W KENSINGTON RD STE 111
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-1141
Practice Address - Country:US
Practice Address - Phone:847-707-4249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-08-27
Last Update Date:2025-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103G00000XBehavioral Health & Social Service ProvidersClinical NeuropsychologistGroup - Single Specialty