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General NPI Number Information
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NPI Number | 1598573248
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Entity Type | Organization
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Legal Business Name | OPTIMAL PSYCHOLOGICAL AND CONSULTING SERVICES
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Dates
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Enumeration Date | 12/27/2024
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 7250 W COLLEGE DR STE 202C
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City | PALOS HEIGHTS
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State | IL
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Zip | 60463-1151
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Country | US
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Telephone | 704-550-6898
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Fax | 888-500-1740
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Provider Business Mailing Address
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Address Line | 4227 W 108TH PL
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City | OAK LAWN
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State | IL
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Zip | 60453-5351
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Country | US
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Telephone | 704-550-6898
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Fax | 888-500-1740
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Authorized Official
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Title or Position | PSYCHOLOGIST/OWNER
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Name | DR. DAVID L LYNN
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Credential | PSYD
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Telephone | 704-550-6898
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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