Sandra Lee Reinke Venden in Lake Villa - Clinical
Sandra Lee Reinke Venden - NPI 1144414715
Sandra Lee Reinke Venden is a Clinical in Lake Villa, Illinois. Sandra Lee Reinke Venden practices all healthcare services and medical treatments related to Clinical. The NPI Number for Sandra Lee Reinke Venden is 1144414715. The last update date is 2007-08-31.
Sandra Lee Reinke Venden's current location address is Po Box 1088, Lake Villa, Illinois. You can contact this provider via phone number 8473653322. The mailing address for Sandra Lee Reinke Venden is Po Box 1088, Lake Villa, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sandra Lee Reinke Venden |
|---|---|
| Address | Po Box 1088, Lake Villa, Illinois |
| Phone Number | 8473653322 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PSYD |
NPI Number Detail
| NPI Number | 1144414715 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2007-08-31 |
Provider Mailing Address Detail
| Address | Po Box 1088 |
|---|---|
| City | Lake Villa |
| State | Illinois (IL) |
| Post Code | 600461088 |
| Phone Number | 8473653322 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71007100 |
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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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What is the unique identification code assigned to Sandra Lee Reinke Venden by the Centers for Medicare & Medicaid Services?
The Sandra Lee Reinke Venden has been issued the NPI (National Provider Identifier) 1144414715. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Sandra Lee Reinke Venden's facilities are geographically located?
The facilities of Sandra Lee Reinke Venden are physically situated at the following location: Po Box 1088, Lake Villa, IL, 600461088.
What is the Sandra Lee Reinke Venden's specialty and taxonomy code?
The Sandra Lee Reinke Venden's specialty is Clinical, and the corresponding taxonomy code is 103Tc0700X.
On what date did the Sandra Lee Reinke Venden receive the assignment of its 1144414715 from the Centers for Medicare & Medicaid Services?
The Sandra Lee Reinke Venden was issued its 1144414715 by the Centers for Medicare & Medicaid Services on 2007-08-28.
When was the information related to Sandra Lee Reinke Venden most recently updated or refreshed?
The details pertaining to the Sandra Lee Reinke Venden, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-08-31.