Individual
DR. LYNN ELLEN NELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004944
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093795106
NPPES
IL
Enumeration date
12/07/2009
Last updated
12/07/2009
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
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