Organization
LAKESHORE PSYCHOLOGY GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELISSA GEIER PSY.D. (MEMBER)
(847) 564-1800
Entity
Organization
Contact information
Practice address
601 SKOKIE BLVD, SUITE 104, NORTHBROOK, IL 60062-2851
(847) 564-1800
Mailing address
320 GROVE ST, GLENCOE, IL 60022-2056
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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