Individual
DR. LYNNE MARTIN SIMON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
636 CHURCH ST, 619A, EVANSTON, IL 60201-4586
(847) 328-8779
Mailing address
404 CHURCH ST, EVANSTON, IL 60201-4514
(847) 328-8779
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
04/29/2006
Last updated
07/08/2007
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