NPI 1003075979

Rebecca Wynne Denosaquo, PSYD

Practitioner Clinical Psychologist Winnetka, IL

Practice location

Address: 545 Lincoln Ave Suite 15, Winnetka, IL 60093-2349
Phone: (847) 331-9156
Mailing address: 902 N Moki Ln, Mount Prospect, IL 60056-1927

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 071007453 (IL)

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Registry record

NPI: 1003075979
Entity type: Individual
Sex (as registered): Female
NPI issued: 5 Jun 2008
Record last updated: 17 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.