Provider Demographics
NPI:1700094588
Name:SWEIG, TERRI L (PHD, ATR-BC, LCPC)
Entity Type:Individual
Prefix:DR
First Name:TERRI
Middle Name:L
Last Name:SWEIG
Suffix:
Gender:F
Credentials:PHD, ATR-BC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1553 KNOLLWOOD LN
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60035-3405
Mailing Address - Country:US
Mailing Address - Phone:847-432-6535
Mailing Address - Fax:847-432-0643
Practice Address - Street 1:660 LA SALLE PL
Practice Address - Street 2:SUITE 1A
Practice Address - City:HIGHLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60035-3505
Practice Address - Country:US
Practice Address - Phone:847-432-6535
Practice Address - Fax:847-432-0643
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional