Lorraine D D'Asta in La Grange - School

Lorraine D D'Asta - NPI 1194815944

Lorraine D D'Asta is a School in La Grange, Illinois. Lorraine D D'Asta practices all healthcare services and medical treatments related to School. 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
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
Provider Enumeration Date 2006-10-13
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 115 S Edgewood Ave
City La Grange
State Illinois (IL)
Post Code 605252149
Phone Number 6306559040
Fax Number 7084820667

Provider's Primary Taxonomy Detail

Speciality School
Taxonomy 103Ts0200X
Licence No 1163916
Definition:
A psychologist whose specialty is concerned with the science and practice of psychology with children, youth, families; learners of all ages; and the schooling process. The basic education and training of school psychologists prepares them to provide

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
227-2056 IL BCBS PROVIDER ID

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FAQs about Lorraine D D'Asta

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 School, and the taxonomy code that categorizes this field of expertise is 103Ts0200X.

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.

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