Provider Demographics
NPI:1922159839
Name:FAYNOR-CIHA, LAURA LYNN (PHD)
Entity Type:Individual
Prefix:DR
First Name:LAURA
Middle Name:LYNN
Last Name:FAYNOR-CIHA
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 1:608 S WASHINGTON ST
Mailing Address - Street 2:SUITE 303
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6663
Mailing Address - Country:US
Mailing Address - Phone:630-548-0098
Mailing Address - Fax:630-548-3598
Practice Address - Street 1:608 S WASHINGTON ST
Practice Address - Street 2:SUITE 303
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6663
Practice Address - Country:US
Practice Address - Phone:630-548-0098
Practice Address - Fax:630-548-3598
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-16
Last Update Date:2020-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071005335103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical