Organization
VICTORIA LASSER, PH.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VICTORIA LASSER PH.D. (PRESIDENT)
(312) 595-9755
Entity
Organization
Contact information
Practice address
480 N MCCLURG CT APT 513, CHICAGO, IL 60611-5337
(312) 595-9755
Mailing address
545 PARK AVE, GLENCOE, IL 60022-1501
(312) 595-9755
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
0600007464
IL
Other
Enumeration date
12/29/2008
Last updated
12/29/2008
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