Laura Covington Rusch, Ph.D.
Psychologist, Clinical in Northbrook, IL. Individual provider (NPI-1).
NPI number1720307366
StatusActive
Last updated in NPPESMay 29, 2012
Details
- NPI
- 1720307366
- Entity type
- Individual (NPI-1)
- Name
- Laura Covington Rusch
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 21, 2010
- Last updated
- May 29, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071008249 | IL | Yes |
Other names
- Laura Covington Dee (Former Name)
Practice location
60 Revere Dr Ste 100Northbrook, IL 60062-1590
Phone 847-418-7995
Mailing address
60 Revere Dr Ste 100Northbrook, IL 60062-1590
Phone 847-418-7995
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