Lynne M. Simon Professional Corporation

NPI #1952504664 in Evanston, Illinois

Provider Information

NPI Number: 1952504664
Entity Type: Organization
Organization Name: Lynne M. Simon Professional Corporation
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jun 8, 2007
Last Updated: Mar 5, 2013

Practice Location

Address: 636 CHURCH ST STE 619A
City: Evanston
State: Illinois
ZIP Code: 60201-4586
Phone: (847) 328-8779

Authorized Official

Name: DR. LYNNE M. SIMON, PH.D.
Title: PRESIDENT
Phone: (847) 328-8779

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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