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Organization

LAKESHORE PSYCHOTHERAPY GROUP LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JEFF SEIDEN PSYD (MANAGER)
(312) 344-3022
Entity
Organization

Contact information

Practice address
6992 CALLE DEL PAZ W, BOCA RATON, FL 33433-6426
(312) 208-6366
Mailing address
PO BOX 295, NORTHBROOK, IL 60065-0295
(312) 208-6366

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary

Other

Enumeration date
02/02/2017
Last updated
06/14/2025
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