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Contact Information

LIFESPAN BEHAVIORAL HEALTH SERVICES,LLC
21316 BROWN DR
FRANKFORT, IL60423-9454
 Phone: 815-773-9503
 Fax: 815-469-4276
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for LIFESPAN BEHAVIORAL HEALTH SERVICESLLC · (Female)

NPI Number 1720263999
Status Active
Credentials
Entity Individual
Enumeration date 01/07/2008
Last updated 02/15/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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