Mary Sue P Lafferty in Evanston - Clinical
Mary Sue P Lafferty - NPI 1700969060
Mary Sue P Lafferty is a Clinical in Evanston, Illinois. Mary Sue P Lafferty practices all healthcare services and medical treatments related to Clinical. The NPI Number for Mary Sue P Lafferty is 1700969060. The last update date is 2015-01-16.
Mary Sue P Lafferty's current location address is 2530 Crawford Ave, Evanston, Illinois. You can contact this provider via phone number 8474758625 and fax number 8478698116. The mailing address for Mary Sue P Lafferty is 2530 Crawford Ave, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary Sue P Lafferty |
|---|---|
| Address | 2530 Crawford Ave, Evanston, Illinois |
| Phone Number | 8474758625 |
| Fax Number | 8478698116 |
| Sole Proprietor | Y |
| Credentials | PHD |
NPI Number Detail
| NPI Number | 1700969060 |
|---|---|
| Provider Enumeration Date | 2006-10-23 |
| Last Updated Date | 2015-01-16 |
Provider Mailing Address Detail
| Address | 2530 Crawford Ave |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602014970 |
| Phone Number | 8474758625 |
| Fax Number | 8478698116 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71004575 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1673728 | IL | BLUE CROSS | |
| 245190 | IL | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Mary Sue P Lafferty by the Centers for Medicare & Medicaid Services?
The Mary Sue P Lafferty has been issued the NPI (National Provider Identifier) 1700969060. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Mary Sue P Lafferty is physically located?
The Mary Sue P Lafferty is physically situated at the following address: 2530 Crawford Ave, Evanston, IL, 602014970.
What is Mary Sue P Lafferty's area of expertise and its corresponding taxonomy classification?
The Mary Sue P Lafferty's field of specialization is Clinical, and it falls under the taxonomy code 103Tc0700X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1700969060 assigned to Mary Sue P Lafferty?
The Mary Sue P Lafferty was issued its 1700969060 on 2006-10-23, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Mary Sue P Lafferty, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mary Sue P Lafferty, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2015-01-16.
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