Deyoung, Lori Ann
Deyoung, Lori Ann is an sole proprietor health care provider with primary practice located at 101 W North St Fl 3 , Danville IL 61832-5730. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Deyoung, Lori Ann can be contacted via phone (217) 497-7484.Contact Information
Primary practice address
101 W North St Fl 3
Danville IL 61832-5730
Phone: (217) 497-7484
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149-008809 | Illinois |
Profile Details
| NPI number | 1235234907 |
|---|---|
| LBN Legal business name | Deyoung, Lori Ann |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 14th, 2006 |
| Last updated | Feb 26th, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1235234907 | NPPES |
| Illinois | Other | 09232024 | BLUE CROSS BLUE SHIELD |
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