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

DR. ANNA R BASOV, PSYD, LCPC

Active Sole Proprietor

DR. ANNA R BASOV, PSYD, LCPC is a Clinical Psychologist healthcare provider located in NORTHBROOK, Illinois. NPI 1487901609 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · NORTHBROOK, IL

Registration Details

NPI Number
1487901609
Provider Type
Individual
Gender
Female
NPI Issued
Aug 7, 2012 (14.007654531976 yrs)
Last Updated
Oct 28, 2015
Licenses
180.009063 (IL)
178.007955 (IL)
071009153 (IL)
Sole Proprietor
Yes

Practice Information

Address
601 SKOKIE BLVD
SUITE #LL-5D
NORTHBROOK, IL, 600622851
Browse IL providers · Browse ZIP 60062
Phone
8476071589
Fax
8478810839
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Professional Counselor
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in NORTHBROOK, IL

Name Credential NPI
DR. LYNNE H SHEBAN PH.D. 1245220920
JOEL MARTIN GRONER PSYD 1407817679
DR. ANTHONY DOMINIC VERTINO PSY.D. 1801852488
DR. ROBERT L. DAVENPORT PH.D. 1902855356
DR. MICHELLE CHABAN PSY.D. 1154378792
DR. MORTON CHESTER MIRMAN PH.D. 1891733853
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.