Provider Demographics
NPI:1134225170
Name:GORNO-REID, TERESA A (PSYD)
Entity type:Individual
Prefix:DR
First Name:TERESA
Middle Name:A
Last Name:GORNO-REID
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24W500 MAPLE AVENUE
Mailing Address - Street 2:SUITE 203C
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60540-6057
Mailing Address - Country:US
Mailing Address - Phone:630-355-1950
Mailing Address - Fax:
Practice Address - Street 1:24W500 MAPLE AVENUE
Practice Address - Street 2:SUITE 203C
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60540-6057
Practice Address - Country:US
Practice Address - Phone:630-355-1950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-16
Last Update Date:2013-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health