Provider Demographics
NPI:1699932426
Name:FRISCH, STEVEN J (PSYD)
Entity type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:J
Last Name:FRISCH
Suffix:
Gender:M
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1512 SYCAMORE LN
Mailing Address - Street 2:
Mailing Address - City:NORTHBROOK
Mailing Address - State:IL
Mailing Address - Zip Code:60062-5440
Mailing Address - Country:US
Mailing Address - Phone:847-224-1967
Mailing Address - Fax:
Practice Address - Street 1:1512 SYCAMORE LN
Practice Address - Street 2:
Practice Address - City:NORTHBROOK
Practice Address - State:IL
Practice Address - Zip Code:60062-5440
Practice Address - Country:US
Practice Address - Phone:847-224-1967
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-20
Last Update Date:2024-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-005090103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical