| Donna Lettieri-marks, Psy.d., Ltd | |
|
55 S Main St Suite 371 Naperville IL 60540-5372 | |
| (630) 904-6610 | |
| (630) 544-3429 |
| Full Name | Donna Lettieri-marks, Psy.d., Ltd |
|---|---|
| Speciality | Clinic/Center |
| Location | 55 S Main St, Naperville, Illinois |
| Authorized Official Name and Position | Donna Lettieri-marks (CLINICAL PSYCHOLOGIST/OWNER) |
| Authorized Official Contact | 6309046610 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Donna Lettieri-marks, Psy.d., Ltd 55 S Main St Suite 371 Naperville IL 60540-5372 Ph: (630) 904-6610 | Donna Lettieri-marks, Psy.d., Ltd 55 S Main St Suite 371 Naperville IL 60540-5372 Ph: (630) 904-6610 |
| NPI Number | 1649418518 |
|---|---|
| Provider Enumeration Date | 01/29/2009 |
| Last Update Date | 01/29/2009 |
| Medicare PECOS PAC ID | 6800946344 |
|---|---|
| Medicare Enrollment ID | O20090604000222 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649418518 | NPI | - | NPPES |
| 1346233665 | Other | NPI (INDIVIDUAL TYPE I NUMBER) | |
| 357980 | Other | IL | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | 071-005423 (Illinois) | Primary |
| Provider Name | Donna Lettieri-marks |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1346233665 PECOS PAC ID: 3476577644 Enrollment ID: I20060116000314 |
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