Individual
DR. ANDREA LYNN CANADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
1653 W CONGRESS PKWY, RUSH UNIVERSITY MEDICAL CENTER, CHICAGO, IL 60612-3833
(312) 942-6442
(312) 942-4990
Mailing address
3855 N JANSSEN AVE # 1, CHICAGO, IL 60613-2853
(773) 281-1789
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.006926
IL
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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