Provider Demographics
NPI:1700875374
Name:BURDA, LAUREEN YEOH (PHD)
Entity Type:Individual
Prefix:
First Name:LAUREEN
Middle Name:YEOH
Last Name:BURDA
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:LAUREEN
Other - Middle Name:
Other - Last Name:YEOH
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:501 W OGDEN AVE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:HINSDALE
Mailing Address - State:IL
Mailing Address - Zip Code:60521-3179
Mailing Address - Country:US
Mailing Address - Phone:630-986-1027
Mailing Address - Fax:630-986-1477
Practice Address - Street 1:501 W OGDEN AVE
Practice Address - Street 2:SUITE 1
Practice Address - City:HINSDALE
Practice Address - State:IL
Practice Address - Zip Code:60521-3179
Practice Address - Country:US
Practice Address - Phone:630-986-1027
Practice Address - Fax:630-986-1477
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-17
Last Update Date:2009-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071005482103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical