Provider Demographics
NPI:1881316404
Name:TORRES, STEPHANIE CORINNE
Entity type:Individual
Prefix:
First Name:STEPHANIE
Middle Name:CORINNE
Last Name:TORRES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:STEPHANIE
Other - Middle Name:CORINNE
Other - Last Name:TORRES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:502 ROBINWOOD LN
Mailing Address - Street 2:
Mailing Address - City:WHEATON
Mailing Address - State:IL
Mailing Address - Zip Code:60189-8720
Mailing Address - Country:US
Mailing Address - Phone:773-766-2663
Mailing Address - Fax:
Practice Address - Street 1:502 ROBINWOOD LN
Practice Address - Street 2:
Practice Address - City:WHEATON
Practice Address - State:IL
Practice Address - Zip Code:60189-8720
Practice Address - Country:US
Practice Address - Phone:773-766-2663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-12
Last Update Date:2025-06-19
Deactivation Date:2022-10-15
Deactivation Code:
Reactivation Date:2025-06-19
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TH0004XBehavioral Health & Social Service ProvidersPsychologistHealth