Provider Demographics
NPI:1184955346
Name:RENA SZABO, PSY.D., LLC
Entity type:Organization
Organization Name:RENA SZABO, PSY.D., LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:RENA
Authorized Official - Middle Name:
Authorized Official - Last Name:SABO
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:630-774-0177
Mailing Address - Street 1:335 N RIVER ST
Mailing Address - Street 2:SUITE 210
Mailing Address - City:BATAVIA
Mailing Address - State:IL
Mailing Address - Zip Code:60510-2386
Mailing Address - Country:US
Mailing Address - Phone:630-774-0177
Mailing Address - Fax:630-879-6808
Practice Address - Street 1:335 N RIVER ST
Practice Address - Street 2:SUITE 210
Practice Address - City:BATAVIA
Practice Address - State:IL
Practice Address - Zip Code:60510-2386
Practice Address - Country:US
Practice Address - Phone:630-774-0177
Practice Address - Fax:630-879-6808
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-27
Last Update Date:2010-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL23844101YA0400X
IL071-006982103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty