Organization
LAURIE BENTON PSYD PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LAURIE ANN BENTON PSYD (PSYCHOLOGIST)
(630) 335-0511
Entity
Organization
Contact information
Practice address
419 CENTER ST, GRAYSLAKE, IL 60030-1645
(630) 335-0511
Mailing address
419 CENTER ST, GRAYSLAKE, IL 60030-1645
(630) 335-0511
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
Other
Enumeration date
06/25/2021
Last updated
06/25/2021
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