Organization
NORTH SHORE COUNSELING SERVICES, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUSANNE ELIZABETH RICHTER PSY.D. (LICENSED CLINICAL PSYCHOLOGIST)
(847) 234-4015
Entity
Organization
Contact information
Practice address
480 ELM PL, HIGHLAND PARK, IL 60035-2538
(847) 234-4015
(847) 234-4015
Mailing address
480 ELM PL STE 104, HIGHLAND PARK, IL 60035-2535
(847) 234-4015
(847) 234-4015
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006792
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972666709
INDIVIDUAL NPI
IL
Enumeration date
02/16/2010
Last updated
09/06/2012
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