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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. K. LARA BEANBLOSSOM, PSYD

Active Sole Proprietor

DR. K. LARA BEANBLOSSOM, PSYD is a Clinical Psychologist healthcare provider located in WINNETKA, Illinois. NPI 1427184795 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · WINNETKA, IL

Registration Details

NPI Number
1427184795
Provider Type
Individual
Gender
Female
NPI Issued
Feb 23, 2007 (19.451089218766 yrs)
Last Updated
Nov 9, 2020
License
071006369 (IL)
Sole Proprietor
Yes

Practice Information

Address
545 LINCOLN AVE STE 4
WINNETKA, IL, 600932349
Browse IL providers · Browse ZIP 60093
Phone
3123859777
Primary Specialty
Clinical Psychologist
103TC0700X

Other Clinical Psychologist Providers in WINNETKA, IL

Name Credential NPI
DR. JOHN P. BAIR PH.D. 1144234170
DR. DAVID CHARLES CLARK PH.D. 1649383902
DR. MICHELE OREILLY STUDL PHD 1528163078
DR. LAIL L. HERMAN PH.D 1184719189
DR. LINDA LOU MILLON PSY.D. 1275620775
DR. SALLY JANE HOIT PSY.D. 1558448761
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.