West, Myra Dorene
West, Myra Dorene is an individual health care provider with primary practice located at 200 Lakewood Blvd , Park Forest IL 60466-1718. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Child & Adolescent, which is considered as her primary health care specialty. West, Myra Dorene can be contacted via phone (708) 481-9799.Contact Information
Primary practice address
200 Lakewood Blvd
Park Forest IL 60466-1718
Phone: (708) 481-9799
Fax: (708) 481-9951
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 071007264 | Illinois |
Profile Details
| NPI number | 1225224827 |
|---|---|
| LBN Legal business name | West, Myra Dorene |
| Credentials | PSY.D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 18th, 2007 |
| Last updated | Apr 9th, 2010 - about 15 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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