Connie S Stanislaus
Psychologist
114 W Rockland Rd
Libertyville
, Illinois 60060
Connie S Stanislaus
Psychologist
114 W Rockland Rd
Libertyville
, Illinois 60060
(847) 816-9183
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About
Features
Specialties
- Psychologist
Languages spoken
- English
Location
First Address
- Connie S Stanislaus
- 114 W Rockland Rd
- Libertyville, IL
- Zip : 60060
- Fax : (847) 816-9183
- Phone : (847) 816-9180
Second Address
- Connie S Stanislaus
- 114 W Rockland Rd
- Libertyville, IL
- Zip : 60060
- Fax : (847) 816-9183
- Phone : (847) 816-9180
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FAQs
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 102L00000X | Psychologist | IL | |
| Y | 103T00000X | Psychologist | IL |
National Provider Identifier
| NPI | 1013032192 |
|---|---|
| Provider Name | Connie S Stanislaus |
| First Address | Libertyville, IL 60060 |
| Second Address | Libertyville, IL 60060 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 20/03/2007 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1295897148 | NATIONAL ID GROUP (01) | IL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.