| Doctor Name: | DR. LAURETTE M FERRARESI |
| NPI Number: | 1104867639 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PH.D. |
| License Number: | |
| Business Practice Address: | 1880 W Winchester Rd Libertyville, IL - 600485321 |
| Business Phone Number: | 3123078367 |
| Business Fax Number: | 8666264579 |
| Mailing Address: | 1230 Forest Ave, HIGHLAND PARK |
| State: | IL |
| Postal Code: | 600353415 |
| Phone Number: | 3123078367 |
| Fax Number: | 8666265479 |
| NPI Enumeration Date: | 06/08/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |