Provider Demographics
NPI:1992980288
Name:PANDEY, RASHMI (PSYD)
Entity type:Individual
Prefix:DR
First Name:RASHMI
Middle Name:
Last Name:PANDEY
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 1:977 LAKEVIEW PARKWAY
Mailing Address - Street 2:SUITE 180
Mailing Address - City:VERNON HILLS
Mailing Address - State:IL
Mailing Address - Zip Code:60061-5176
Mailing Address - Country:US
Mailing Address - Phone:847-549-6750
Mailing Address - Fax:
Practice Address - Street 1:977 LAKEVIEW PARKWAY
Practice Address - Street 2:SUITE 180
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061-5176
Practice Address - Country:US
Practice Address - Phone:847-549-6750
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-04
Last Update Date:2008-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL178-001-380101YP2500X
IL071007491103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional