| L. Roston Psychotherapy Services, Inc. | |
|
9512 Lincolnwood Dr Evanston IL 60203-1116 | |
| (847) 677-7661 | |
| (847) 983-8947 |
| Full Name | L. Roston Psychotherapy Services, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 9512 Lincolnwood Dr, Evanston, Illinois |
| Authorized Official Name and Position | Laurie D. Roston (PRESIDENT/PSYCHOTHERAPIST) |
| Authorized Official Contact | 8476777661 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L. Roston Psychotherapy Services, Inc. 9512 Lincolnwood Dr Evanston IL 60203-1116 Ph: (847) 677-7661 | L. Roston Psychotherapy Services, Inc. 9512 Lincolnwood Dr Evanston IL 60203-1116 Ph: (847) 677-7661 |
| NPI Number | 1033303714 |
|---|---|
| Provider Enumeration Date | 09/05/2007 |
| Last Update Date | 09/05/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033303714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Illinois) | Primary |
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