| Doctor Name: | MS. STEPHANIE GOLDMAN MEIS |
| NPI Number: | 1053574798 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA LCPC |
| License Number: | 180006342 |
| Business Practice Address: | 735 Saint Johns Ave # 400 Highland Park, IL - 600354649 |
| Business Phone Number: | 8476090406 |
| Business Fax Number: | 8474121434 |
| Mailing Address: | 735 St Johns Ave #400, HIGHLAND PARK |
| State: | IL |
| Postal Code: | 600354649 |
| Phone Number: | 8476090406 |
| Fax Number: | 8474121434 |
| NPI Enumeration Date: | 07/02/2008 |
| NPI Last Update Date: | 07/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 180006342 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |