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Individual

DR. ERIKA LAINE YAMIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
826 MADISON ST, EVANSTON, IL 60202-2207
(847) 347-1108
Mailing address
561 DREXEL AVE, GLENCOE, IL 60022-2067
(847) 347-1108

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010684
IL
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
155880432
BCBS
Enumeration date
11/28/2016
Last updated
06/24/2022
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