Provider Demographics
NPI:1215514203
Name:SANDSTONE PSYCHOLOGY GROUP LLC
Entity type:Organization
Organization Name:SANDSTONE PSYCHOLOGY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:M
Authorized Official - Last Name:VECCHIOLLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-220-1848
Mailing Address - Street 1:615 S GROVE AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60304-1120
Mailing Address - Country:US
Mailing Address - Phone:630-220-1848
Mailing Address - Fax:
Practice Address - Street 1:615 S GROVE AVE
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60304-1120
Practice Address - Country:US
Practice Address - Phone:630-220-1848
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-25
Last Update Date:2021-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty