Individual
LAURA COVINGTON RUSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(847) 418-7995
Mailing address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(847) 418-7995
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008249
IL
Other
Enumeration date
05/21/2010
Last updated
05/29/2012
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