Provider Demographics
NPI:1750733754
Name:RESENDIZ, NATALIA (MA)
Entity type:Individual
Prefix:MRS
First Name:NATALIA
Middle Name:
Last Name:RESENDIZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 CALENDAR CT
Mailing Address - Street 2:SUITE 207
Mailing Address - City:LA GRANGE
Mailing Address - State:IL
Mailing Address - Zip Code:60525-2365
Mailing Address - Country:US
Mailing Address - Phone:708-995-3721
Mailing Address - Fax:
Practice Address - Street 1:23 CALENDAR CT
Practice Address - Street 2:SUITE 207
Practice Address - City:LA GRANGE
Practice Address - State:IL
Practice Address - Zip Code:60525-2365
Practice Address - Country:US
Practice Address - Phone:708-995-3721
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-01
Last Update Date:2016-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor