Provider Demographics
NPI:1386240059
Name:STYER, DENISE MARIE (PSYD)
Entity type:Individual
Prefix:DR
First Name:DENISE
Middle Name:MARIE
Last Name:STYER
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1209 N KNOLLWOOD DR
Mailing Address - Street 2:
Mailing Address - City:PALATINE
Mailing Address - State:IL
Mailing Address - Zip Code:60067-2078
Mailing Address - Country:US
Mailing Address - Phone:708-638-8235
Mailing Address - Fax:
Practice Address - Street 1:1209 N KNOLLWOOD DR
Practice Address - Street 2:
Practice Address - City:PALATINE
Practice Address - State:IL
Practice Address - Zip Code:60067-2078
Practice Address - Country:US
Practice Address - Phone:708-638-8235
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-08
Last Update Date:2020-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178002083101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional