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Individual
DR. TODD RUSSELL LENDVAY
Active
Individual
DR. TODD RUSSELL LENDVAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180002906
IL
103TC0700X
Clinical Psychologist
Primary
071-07171
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932629
BLUE CROSS
—
Enumeration date
12/19/2006
Last updated
02/28/2014
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