Individual
DR. LAURA LYNN VINER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH. D.
Contact information
Practice address
1560 SHERMAN AVE., SUITE 400, YELLOWBRICK, EVANSTON, IL 60201-4803
(847) 869-1500
(847) 869-1515
Mailing address
1560 SHERMAN AVE., SUITE 400, YELLOWBRICK, EVANSTON, IL 60201-4803
(847) 869-1500
(847) 869-1515
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.004111
IL
103TC0700X
Clinical Psychologist
071004111
IL
Other
Enumeration date
03/05/2008
Last updated
10/09/2012
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