NPI 1144414715

Sandra Lee Reinke Venden, PSYD

Practitioner Clinical Psychologist Lake Villa, IL

Practice location

Address: 420 W Grand Ave, Lake Villa, IL 60046-8664
Phone: (847) 365-3322
Mailing address: PO Box 1088, Lake Villa, IL 60046-1088

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 71007100 (IL)

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Registry record

NPI: 1144414715
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Aug 2007
Record last updated: 31 Aug 2007

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.