| Laurie Benton Psyd Pllc | |
|
419 Center St Grayslake IL 60030-1645 | |
| (630) 335-0511 | |
| Not Available |
| Full Name | Laurie Benton Psyd Pllc |
|---|---|
| Speciality | Psychologist |
| Location | 419 Center St, Grayslake, Illinois |
| Authorized Official Name and Position | Laurie Ann Benton (PSYCHOLOGIST) |
| Authorized Official Contact | 6303350511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laurie Benton Psyd Pllc 419 Center St Grayslake IL 60030-1645 Ph: (630) 335-0511 | Laurie Benton Psyd Pllc 419 Center St Grayslake IL 60030-1645 Ph: (630) 335-0511 |
| NPI Number | 1558931287 |
|---|---|
| Provider Enumeration Date | 06/25/2021 |
| Last Update Date | 06/25/2021 |
| Certification Date | 06/07/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558931287 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Primary |
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