Van Arsdell, Lora
Van Arsdell, Lora is an sole proprietor health care provider with primary practice located at 5 Revere Dr Ste 200 , Northbrook IL 60062-8000. 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 / Psychologist is her primary health care specialty. Van Arsdell, Lora can be contacted via phone (630) 258-8059.Contact Information
Primary practice address
5 Revere Dr Ste 200
Northbrook IL 60062-8000
Phone: (630) 258-8059
Fax: (844) 629-5618
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 149017112 | Illinois |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 071009542 | Illinois |
Profile Details
| NPI number | 1558769109 |
|---|---|
| LBN Legal business name | Van Arsdell, Lora |
| Credentials | PSYD LCSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 15th, 2014 |
| Last updated | Nov 6th, 2018 - about 8 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 | 1558769109 | NPPES |
| Illinois | MEDICAID | F400378779 |
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