Lincoln Park Psychology, Inc.

NPI #1013524818 in Chicago, Illinois

Provider Information

NPI Number: 1013524818
Entity Type: Organization
Organization Name: Lincoln Park Psychology, Inc.
Primary Specialty: Psychologist
Enumeration Date: Sep 25, 2020
Last Updated: Oct 23, 2020

Practice Location

Address: 644 W WEBSTER AVE # B
City: Chicago
State: Illinois
ZIP Code: 60614-3710
Phone: (773) 991-3016

Authorized Official

Name: DR. KATHRYN JESSIE WAX, PSY.D.
Title: CLINICAL PSYCHOLOGIST/PRESIDENT
Phone: (773) 991-3016

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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