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:
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Health care specialties

SpecialtyCodeLicense #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 14 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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