D'Asta, Lorraine D

D'Asta, Lorraine D is an sole proprietor health care provider with primary practice located at 111 W Chicago Ave , Hinsdale IL 60521-3356. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. D'Asta, Lorraine D can be contacted via phone (630) 655-9040.

Contact Information

Primary practice address
111 W Chicago Ave Hinsdale IL 60521-3356
Fax: (708) 482-0667
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 71-2763 Illinois
Behavioral Health & Social Service Providers / School 103TS0200X 1163916 Illinois

Profile Details

NPI number 1194815944
LBN Legal business name D'Asta, Lorraine D
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 13th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

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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Identifiers

StateTypeNumberIssuer
All States NPI 1194815944 NPPES
Illinois Other 227-2056 BCBS PROVIDER ID

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