Provider Demographics
NPI:1528492204
Name:LAW, RHIANNON KATHLEEN STEFFEN (PHD)
Entity type:Individual
Prefix:
First Name:RHIANNON
Middle Name:KATHLEEN STEFFEN
Last Name:LAW
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:
Other - First Name:RHIANNON
Other - Middle Name:KATHLEEN
Other - Last Name:STEFFEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:950 LEE ST STE 204
Mailing Address - Street 2:
Mailing Address - City:DES PLAINES
Mailing Address - State:IL
Mailing Address - Zip Code:60016-6574
Mailing Address - Country:US
Mailing Address - Phone:224-725-4152
Mailing Address - Fax:
Practice Address - Street 1:950 LEE ST STE 204
Practice Address - Street 2:
Practice Address - City:DES PLAINES
Practice Address - State:IL
Practice Address - Zip Code:60016-6574
Practice Address - Country:US
Practice Address - Phone:224-725-4152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-29
Last Update Date:2020-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
IL071.010420103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor