Individual
LAUREN HARRIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
24012 W RENWICK RD, UNIT 204A, PLAINFIELD, IL 60544-8731
(815) 676-4688
Mailing address
24012 W RENWICK RD, UNIT 204A, PLAINFIELD, IL 60544-8731
(815) 676-4688
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009326
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071009326
IL
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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