Individual
TAYLOR LINDBOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
100 N CHESTNUT ST STE 244, CHAMPAIGN, IL 61820-4872
(217) 621-6180
Mailing address
100 N CHESTNUT ST STE 244, CHAMPAIGN, IL 61820-4872
(217) 621-6180
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071010651
IL
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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