Lauren E Anker, PSYD

Individual provider Active NPI Clinical Psychologist · Northfield, IL

NPI 1992086888 · NPPES record last updated Dec 12, 2016

Key facts

NPI
1992086888
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Psychologist 103TC0700X
License
0710094444 (IL)
Practice address
405 Central Ave
Northfield, IL 60093-3006
Phone
(847) 441-5600
Fax
(847) 441-7968
NPI assigned
Sep 6, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
0710094444ILMDClinical Psychologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 0710094444 IL Yes

Addresses

Primary practice location

405 Central Ave
Northfield, IL 60093-3006

Mailing address

405 Central Ave
Northfield, IL 60093-3006
Phone (847) 441-5600

Other providers in Northfield, IL

All providers in Northfield, IL · Clinical Psychologist in Illinois

Sources for this page

Verify at the official NPI Registry.