MEDICARE: DR. LAURA LYNN FAYNOR-CIHA PH.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103TC0700X	Clinical Psychologist	071005335	IL

General Provider Information

NPI Number	:	1922159839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. LAURA LYNN FAYNOR-CIHA PH.D.

Provider Business Mailing Address
First Line	:	608 S WASHINGTON ST
Second Line	:	SUITE 303
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-6663
Country	:	US
Telephone Number	:	630-548-0098
Fax Number	:	630-548-3598

Provider Business Practice Location Address
First Line	:	608 S WASHINGTON ST
Second Line	:	SUITE 303
City	:	NAPERVILLE
State	:	IL
Zip	:	60540-6663
Country	:	US
Telephone Number	:	630-548-0098
Fax Number	:	630-548-3598

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/16/2007
Last Update Date	:	12/22/2020

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