Organization
LAKEVIEW PSYCHOLOGY GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTINE OLSON PSYD (PSYCHOLOGIST)
(814) 594-5090
Entity
Organization
Contact information
Practice address
1300 W BELMONT AVE STE 10, CHICAGO, IL 60657-3200
(312) 880-9349
Mailing address
4801 N RAVENSWOOD AVE APT 107, CHICAGO, IL 60640-4478
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009518
IL
Other
Enumeration date
07/12/2017
Last updated
03/22/2023
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