Lisa Annette Conway, PHD | |
4256 N Ravenswood Ave Ste 215, Chicago, IL 60613-1114 | |
(312) 471-3910 | |
Not Available |
Full Name | Lisa Annette Conway |
---|---|
Gender | Female |
Speciality | Psychologist - Cognitive & Behavioral |
Location | 4256 N Ravenswood Ave Ste 215, Chicago, Illinois |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023419348 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | 071008678 (Illinois) | Secondary |
103TB0200X | Psychologist - Cognitive & Behavioral | 071.008678 (Illinois) | Primary |
Mailing Address | Practice Location Address |
---|---|
Lisa Annette Conway, PHD 4256 N Ravenswood Ave Ste 215, Chicago, IL 60613-1114 Ph: (312) 471-3910 | Lisa Annette Conway, PHD 4256 N Ravenswood Ave Ste 215, Chicago, IL 60613-1114 Ph: (312) 471-3910 |
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