Costa, Yara R.
Costa, Yara R. is an sole proprietor health care provider with primary practice located at 420 Lake Cook Rd , Deerfield IL 60015-5646. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Costa, Yara R. can be contacted via phone (847) 343-5554.Contact Information
Primary practice address
420 Lake Cook Rd
Deerfield IL 60015-5646
Phone: (847) 343-5554
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 071009332 | Illinois |
Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071009332 | Illinois |
Profile Details
NPI number | 1689871923 |
---|---|
LBN Legal business name | Costa, Yara R. |
Credentials | PSYD, MS |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 29th, 2007 |
Last updated | Mar 3rd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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