MARY ROBERSON LCPC EDD NPI 1902296502

NPI Information

NPI: 1902296502
Provider Name: MARY ROBERSON, LCPC, EDD
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
39385 N STOCKTON LN
BEACH PARK, IL
ZIP 60083
Phone: (847) 687-3504
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Mary Roberson, LCPC, EDD is a professional counselor in Beach Park, IL. Mary Roberson, LCPC, EDD NPI is 1902296502. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

39385 N STOCKTON LN
BEACH PARK, IL
ZIP 60083-010
Phone: (847) 687-3504

The enumeration date for this NPI number is 2/3/2015 and was last updated on 8/11/2015.

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	180005805	ILLINOIS	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: 5/5/2024

NPI Synchronization or Removal

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