Healthcare Provider Details

I. General information

NPI: 1023158243
Provider Name (Legal Business Name): CATHERINE A. ARCE PH.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

977 LAKEVIEW PKWY SUITE 180
VERNON HILLS IL
60061-1400
US

IV. Provider business mailing address

2551 N LANCASTER LN
ROUND LAKE BEACH IL
60073-4929
US

V. Phone/Fax

Practice location:
  • Phone: 847-549-6750
  • Fax: 847-549-8006
Mailing address:
  • Phone: 847-791-6049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: