Healthcare Provider Details

I. General information

NPI: 1336812452
Provider Name (Legal Business Name): LAURA LEIGH EDWARDS PSYD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2021
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2101 S ARLINGTON HEIGHTS RD STE 185
ARLINGTON HEIGHTS IL
60005-4172
US

IV. Provider business mailing address

2101 S ARLINGTON HEIGHTS RD STE 185
ARLINGTON HEIGHTS IL
60005-4172
US

V. Phone/Fax

Practice location:
  • Phone: 847-666-5339
  • Fax:
Mailing address:
  • Phone: 847-666-5339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103T00000X
TaxonomyPsychologist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: