Organization
LYLE SKINNER LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYLE SKINNER PSY.D. (OWNER)
(630) 232-2458
Entity
Organization
Contact information
Practice address
227 S 2ND ST, GENEVA, IL 60134-2713
(630) 232-2458
Mailing address
227 S 2ND ST, GENEVA, IL 60134-2713
(630) 232-2458
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-007295
IL
Other
Enumeration date
12/16/2008
Last updated
12/16/2008
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