Quistad, Anna M.

Quistad, Anna M. is an individual health care provider with primary practice located at 1331 W 75Th St Ste 201 , Naperville IL 60540-9311. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Quistad, Anna M. can be contacted via phone (630) 646-4658.

Contact Information

Primary practice address
1331 W 75Th St Ste 201 Naperville IL 60540-9311
Phone: (630) 646-4658
Fax: (630) 527-7139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071010463 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 071010463 Illinois

Profile Details

NPI number 1487130464
LBN Legal business name Quistad, Anna M.
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2018
Last updated May 14th, 2024 - about 2 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487130464 NPPES
Other NONE NONE

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