Individual
MELISSA LAMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
912 S WOOD ST, CHICAGO, IL 60612-4300
(312) 996-7206
Mailing address
1601 W TAYLOR ST, CHICAGO, IL 60612-4310
(312) 996-5779
(312) 996-7658
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008069
IL
Other
Enumeration date
10/19/2012
Last updated
10/19/2012
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