Individual
LAUREN CRISANTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
10730 W 143RD ST STE 37, ORLAND PARK, IL 60462-1940
(800) 564-0863
Mailing address
PO BOX 2257, CHESTERTON, IN 46304-0357
(219) 926-8320
(219) 926-3524
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071.009338
IL
103TC0700X
Clinical Psychologist
071.009338
IL
Other
Enumeration date
08/03/2016
Last updated
09/08/2016
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