Organization
ANNE M NATHAN PSYD LLC
Active
Other names
Anne M. Nathan, PsyD LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE M. NATHAN (OWNER)
(847) 544-9006
Entity
Organization
Contact information
Practice address
175 OLDE HALF DAY RD STE 210, LINCOLNSHIRE, IL 60069-3063
(847) 544-9006
Mailing address
175 OLDE HALF DAY RD STE 210, LINCOLNSHIRE, IL 60069-3063
(847) 544-9006
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007361
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
071007361
ILLINOIS LICENSURE
IL
Enumeration date
07/31/2017
Last updated
07/21/2022
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