Individual
DR. TODD RUSSELL LENDVAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
1644 W COLONIAL PKWY, INVERNESS, IL 60067-1207
(847) 997-2037
(847) 776-4724
Mailing address
26112 W INDIAN TRAIL ROAD, BARRINGTON, IL 60010
(847) 997-2037
(847) 776-4724
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180002906
IL
103TC0700X
Clinical Psychologist
Primary
071-07171
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04932629
BLUE CROSS
—
Enumeration date
12/19/2006
Last updated
02/28/2014
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