Stanford, Lisa D.
Stanford, Lisa D. is an individual health care provider with primary practice located at 2033 Milwaukee Ave Ste 334, Riverwoods IL 60015-3581. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical Neuropsychologist, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is her primary health care specialty. Stanford, Lisa D. can be contacted via phone (800) 564-0863.Contact Information
Primary practice address
2033 Milwaukee Ave Ste 334
Riverwoods IL 60015-3581
Phone: (800) 564-0863
Fax: (847) 383-4380
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 071006582 | Illinois |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 071006582 | Illinois |
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071006582 | Illinois |
| Behavioral Health & Social Service Providers / School | 103TS0200X | 071006582 | Illinois |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 6797 | Ohio |
Profile Details
| NPI number | 1194838268 |
|---|---|
| LBN Legal business name | Stanford, Lisa D. |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 16th, 2006 |
| Last updated | Feb 17th, 2014 - about 12 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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