Doctor Name: | ANN M LOSOFF |
NPI Number: | 1003144049 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PH.D. |
License Number: | 071-007747 |
Business Practice Address: | 8170 Mccormick Blvd Suite 204 Skokie, IL - 600762961 |
Business Phone Number: | 8476730718 |
Business Fax Number: | |
Mailing Address: | 8170 Mccormick Blvd, Suite 204 SKOKIE |
State: | IL |
Postal Code: | 600762961 |
Phone Number: | 8476730718 |
Fax Number: | |
NPI Enumeration Date: | 12/03/2009 |
NPI Last Update Date: | 04/28/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 071-007747 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |