DENISE PEDROZA SANDOVAL LCPC LLC NPI 1871143750

NPI Information

NPI: 1871143750
Provider Name: DENISE PEDROZA SANDOVAL LCPC LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
3245 GROVE AVE STE 103
BERWYN, IL
ZIP 60402
Phone: (708) 955-1522
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DENISE PEDROZA SANDOVAL LCPC LLC is a professional counselor in Berwyn, IL. DENISE PEDROZA SANDOVAL LCPC LLC NPI is 1871143750. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3245 GROVE AVE STE 103
BERWYN, IL
ZIP 60402-475
Phone: (708) 955-1522
Fax: (708) 400-7939

The provider's authorized official is Denise Sandoval .
The authorized official title is Owner/psychotherapist and has the following contact phone number (708) 955-1522.

The enumeration date for this NPI number is 9/12/2019 and was last updated on 9/12/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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