Individual
DR. ANN M LAFRANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., HSPP
Contact information
Practice address
8300 BROADWAY, SUITE F1, MERRILLVILLE, IN 46410-8602
(219) 736-1000
(219) 736-9699
Mailing address
8300 BROADWAY, SUITE F1, MERRILLVILLE, IN 46410-8602
(219) 736-1000
(219) 736-9699
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
071007565
IL
103TC0700X
Clinical Psychologist
Primary
20042454A
IN
314000000X
Skilled Nursing Facility
071007565
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071007565
LICENSE
IL
01
—
20042454A
INDIANA CLINICAL PSYCHOLOGY LICENSE
IN
Enumeration date
07/07/2009
Last updated
05/16/2011
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