Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MINDY FORMAN, PSYD
ActiveMINDY FORMAN, PSYD is a Psychologist healthcare provider located in LIBERTYVILLE, Illinois. NPI 1851768725 is currently active in the NPPES registry. Verify at CMS.
Psychologist · LIBERTYVILLE, IL
Registration Details
- NPI Number
- 1851768725
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 27, 2015 (10.956789431681 yrs)
- Last Updated
- Dec 13, 2018
- License
-
071.009917 (IL)
Practice Information
- Address
-
1248 AMERICAN WAYLIBERTYVILLE, IL, 600483936Browse IL providers · Browse ZIP 60048
- Phone
- 2244336744
- Primary Specialty
-
Psychologist
103T00000X
- Additional Specialty
- Psychologist
Other Psychologist Providers in LIBERTYVILLE, IL
| Name | Credential | NPI |
|---|---|---|
| CONNIE S STANISLAUS | LCSW | 1013032192 |
| DR. KARINA BORTNIK | PSY.D. | 1548388036 |
| DR. WAYNE ANDREW PREPURA | PHD COUNSELLING PSYC | 1265623631 |
| ELIZABETH CUCCI | PSY.D. | 1053662734 |
| HEATHER DIGBY | PSYD | 1679910210 |
| KARA ANAST | — | 1083016117 |
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.