| Lasley Psych Services Pllc | |
|
708 Church St Ste 252 Evanston IL 60201-3840 | |
| (773) 570-0128 | |
| Not Available |
| Full Name | Lasley Psych Services Pllc |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 708 Church St Ste 252, Evanston, Illinois |
| Authorized Official Name and Position | Morgan Anne Lasley (OWNER) |
| Authorized Official Contact | 7735730884 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lasley Psych Services Pllc 314 Lee St Apt 3 Evanston IL 60202-4546 Ph: (773) 573-0884 | Lasley Psych Services Pllc 708 Church St Ste 252 Evanston IL 60201-3840 Ph: (773) 570-0128 |
| NPI Number | 1760266423 |
|---|---|
| Provider Enumeration Date | 08/23/2023 |
| Last Update Date | 08/28/2023 |
| Certification Date | 08/28/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760266423 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103T00000X | Psychologist | (* (Not Available)) | Secondary |
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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