Lorraine D D'Asta is a Clinical in La Grange, Illinois. Lorraine D D'Asta practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lorraine D D'Asta is 1194815944. The last update date is 2007-07-08.
Lorraine D D'Asta's current location address is 115 S Edgewood Ave, La Grange, Illinois. You can contact this provider via phone number 6306559040 and fax number 7084820667. The mailing address for Lorraine D D'Asta is 115 S Edgewood Ave, La Grange, Illinois. To know further, please read the information below!
Provider Profile Detail
Provider Name | Lorraine D D'Asta |
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Address | 115 S Edgewood Ave, La Grange, Illinois |
Phone Number | 6306559040 |
Fax Number | 7084820667 |
Sole Proprietor | Y |
Credentials | PH.D. |
NPI Number Detail
NPI Number | 1194815944 |
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Provider Enumeration Date | 2006-10-13 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 115 S Edgewood Ave |
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City | La Grange |
State | Illinois (IL) |
Post Code | 605252149 |
Phone Number | 6306559040 |
Fax Number | 7084820667 |
Provider's Primary Taxonomy Detail
Speciality | Clinical |
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Taxonomy | 103Tc0700X |
Licence No | 71-2763 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
227-2056 | IL | BCBS PROVIDER ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lorraine D D'Asta by the Centers for Medicare & Medicaid Services?
The Lorraine D D'Asta has been issued the NPI (National Provider Identifier) 1194815944, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Lorraine D D'Asta?
The Lorraine D D'Asta is physically situated at 115 S Edgewood Ave, in the city of La Grange, state of IL, with the postal code 605252149.
What is Lorraine D D'Asta's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Lorraine D D'Asta is Clinical, and the taxonomy code that categorizes this field of expertise is 103Tc0700X.
On what date did the Centers for Medicare & Medicaid Services assign the 1194815944 to Lorraine D D'Asta?
The Centers for Medicare & Medicaid Services assigned the 1194815944 to Lorraine D D'Asta on 2006-10-13.
As of what date was the information regarding Lorraine D D'Asta, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Lorraine D D'Asta, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.
NPI Number: 1336142389
Address: Po Box 2004, East Syracuse, NY