Doctor Name: | MS. DOROTHY ESTELLE PEVEN |
NPI Number: | 1023021417 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | DOROTHY PEVEN, MSW |
License Number: | |
Business Practice Address: | 1780 Maple St #8 Northfield, IL - 600933021 |
Business Phone Number: | 8477784981 |
Business Fax Number: | 8477140609 |
Mailing Address: | 3136 Pheasant Creek Dr, NORTHBROOK |
State: | IL |
Postal Code: | 600623360 |
Phone Number: | 8475648869 |
Fax Number: | 8477140609 |
NPI Enumeration Date: | 08/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |