Doctor Name: | DR. MICHELLE A NAVARRO |
NPI Number: | 1043370778 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PSY D |
License Number: | |
Business Practice Address: | 4180 Route 83 Suite 10 Long Grove, IL - 60047 |
Business Phone Number: | 8478211450 |
Business Fax Number: | 8478211218 |
Mailing Address: | 4180 Route 83, Suite 10 LONG GROVE |
State: | IL |
Postal Code: | 60047 |
Phone Number: | 8478211450 |
Fax Number: | 8478211218 |
NPI Enumeration Date: | 12/11/2006 |
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: |