Lynne M. Simon Professional Corporation in Evanston - Clinical
Lynne M. Simon Professional Corporation - NPI 1952504664
Lynne M. Simon Professional Corporation is a Clinical in Evanston, Illinois. Lynne M. Simon Professional Corporation practices all healthcare services and medical treatments related to Clinical. The NPI Number for Lynne M. Simon Professional Corporation is 1952504664. The last update date is 2013-03-05.
Lynne M. Simon Professional Corporation's current location address is 404 Church St, Evanston, Illinois. You can contact this provider via phone number 8473288779. The mailing address for Lynne M. Simon Professional Corporation is 404 Church St, Evanston, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lynne M. Simon Professional Corporation |
|---|---|
| Address | 404 Church St, Evanston, Illinois |
| Phone Number | 8473288779 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Simon M. Lynne |
| Credentials | PH.D. |
| Telephone Number | 8473288779 |
NPI Number Detail
| NPI Number | 1952504664 |
|---|---|
| Provider Enumeration Date | 2007-06-08 |
| Last Updated Date | 2013-03-05 |
Provider Mailing Address Detail
| Address | 404 Church St |
|---|---|
| City | Evanston |
| State | Illinois (IL) |
| Post Code | 602014514 |
| Phone Number | 8473288779 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
| Licence No | 71003423 |
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Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
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What is the unique 10-digit identification code assigned to Lynne M. Simon Professional Corporation by the Centers for Medicare & Medicaid Services?
The Lynne M. Simon Professional Corporation has been issued the NPI (National Provider Identifier) 1952504664, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Lynne M. Simon Professional Corporation located?
The Lynne M. Simon Professional Corporation is located at 404 Church St, Evanston, IL 602014514.
What is Lynne M. Simon Professional Corporation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Lynne M. Simon Professional Corporation is Clinical, and the taxonomy code that classifies this field of practice is 103Tc0700X.
On what date was the 1952504664 assigned to Lynne M. Simon Professional Corporation?
The Lynne M. Simon Professional Corporation was issued its 1952504664 on 2007-06-08, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Lynne M. Simon Professional Corporation's details last updated?
The information pertaining to the Lynne M. Simon Professional Corporation, including its address, specialty, and other details, was most recently updated on 2013-03-05.
NPI Number: 1255391348
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