Individual
MR. RICHARD D STANTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
21 HERITAGE DR, SUITE 102, BOURBONNAIS, IL 60914
(815) 937-8204
(815) 937-8798
Mailing address
9223 W SAINT FRANCIS RD, FRANKFORT, IL 60423-8330
(815) 806-3111
(815) 464-2621
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
IL
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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