Individual
DR. LYNNEA RENAE VIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
901 W GUNNISON ST # 2E, CHICAGO, IL 60640-4210
(571) 442-4247
Mailing address
MAG-36, UNIT 37131, FPO, AP 96386-7131
(571) 442-4247
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0810006182
VA
Other
Enumeration date
04/16/2009
Last updated
02/26/2025
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