Provider Demographics
NPI:1386857985
Name:PHILIPPS, LAURIE HELEN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LAURIE
Middle Name:HELEN
Last Name:PHILIPPS
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1650 N ARLINGTON HTS RD #101
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON HTS
Mailing Address - State:IL
Mailing Address - Zip Code:60004-3961
Mailing Address - Country:US
Mailing Address - Phone:847-754-9343
Mailing Address - Fax:
Practice Address - Street 1:1226 N DUNTON AVE
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-4725
Practice Address - Country:US
Practice Address - Phone:847-856-7230
Practice Address - Fax:847-856-7330
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2015-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-4571103TC2200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & Adolescent