Organization
DONNA LETTIERI-MARKS, PSY.D., LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONNA LETTIERI-MARKS PSY.D. (CLINICAL PSYCHOLOGIST/OWNER)
(630) 904-6610
Entity
Organization
Contact information
Practice address
55 S MAIN ST, SUITE 371, NAPERVILLE, IL 60540-5372
(630) 904-6610
(630) 544-3429
Mailing address
55 S MAIN ST, SUITE 371, NAPERVILLE, IL 60540-5372
(630) 904-6610
(630) 544-3429
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
071-005423
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346233665
NPI (INDIVIDUAL TYPE I NUMBER)
—
01
—
357980
MEDICARE
IL
Enumeration date
01/29/2009
Last updated
01/29/2009
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