NPI 1265563845
Laura Ann Benton, PSYD
Practice location
- Address
- 420 West Grand Ave, Lake Villa, IL 60046
- Phone
- (847) 356-3322
- Fax
- (847) 356-2360
Registered specialties
Clinical Psychologist
Primary
Registry record
- NPI
- 1265563845
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Mar 2007
- Record last updated
- 8 Jul 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.