Doctor Name: | SUSAN E PANITCH |
NPI Number: | 1952372724 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A. |
License Number: | |
Business Practice Address: | 655 Rockland Rd Suite 210 Lake Bluff, IL - 600441782 |
Business Phone Number: | 8476159445 |
Business Fax Number: | 8477350815 |
Mailing Address: | 655 Rockland Rd, Suite 210 LAKE BLUFF |
State: | IL |
Postal Code: | 600441780 |
Phone Number: | 8476159445 |
Fax Number: | 8477350815 |
NPI Enumeration Date: | 01/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |