NPI 1417479676

Alison Rogers, PSYD

Practitioner Psychologist Lake Villa, IL

Practice location

Address: 420 W. Grand Ave, Lake Villa, IL 60046
Phone: (847) 356-3322
Mailing address: 311 Woodbine Rd, Cary, IL 60013-3050

Registered specialties

Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103T00000X Licence 071.009569 (IL)

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Registry record

NPI: 1417479676
Entity type: Individual
Sex (as registered): Female
NPI issued: 10 Jul 2017
Record last updated: 9 Oct 2017

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.