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Individual

DR. LORRAINE D D'ASTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
111 W CHICAGO AVE, HINSDALE, IL 60521-3356
(630) 655-9040
(708) 482-0667
Mailing address
115 S EDGEWOOD AVE, LA GRANGE, IL 60525-2149
(630) 655-9040
(708) 482-0667

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
71-2763
IL
103TS0200X
School Psychologist
Primary
1163916
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
227-2056
BCBS PROVIDER ID
IL
Enumeration date
10/13/2006
Last updated
09/11/2025
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