Organization
SUE LAFFERTY, PH.D., PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUE LAFFERTY PH.D. (PRESIDENT)
(847) 475-8625
Entity
Organization
Contact information
Practice address
2530 CRAWFORD AVE, #304, EVANSTON, IL 60201-4970
(847) 475-8625
Mailing address
2530 CRAWFORD AVE, #304, EVANSTON, IL 60201-4970
(847) 475-8625
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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