| Doctor Name: | DR. ANNE M. NATHAN |
| NPI Number: | 1235240896 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | PS007663L |
| Business Practice Address: | 175 Olde Half Day Road Lincolnshire, IL - 60069 |
| Business Phone Number: | 8477776922 |
| Business Fax Number: | 8477776923 |
| Mailing Address: | 175 Olde Half Day Road, LINCOLNSHIRE |
| State: | IL |
| Postal Code: | 60069 |
| Phone Number: | 8477776922 |
| Fax Number: | 8477776923 |
| NPI Enumeration Date: | 08/31/2006 |
| NPI Last Update Date: | 12/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | PS007663L |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |