Dr. Lyssa Menard, PhD
Psychologist, Clinical in Chicago, IL. Individual provider (NPI-1).
NPI number1720161300
StatusActive
Last updated in NPPESMay 21, 2020
Details
- NPI
- 1720161300
- Entity type
- Individual (NPI-1)
- Name
- Dr. Lyssa Menard
- Credential
- PhD
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 24, 2006
- Last updated
- May 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071-006487 | IL | Yes |
Practice location
445 E Ohio St Ste 304Chicago, IL 60611-4675
Phone 312-404-9539
Mailing address
70 W Huron St Apt 2604Chicago, IL 60654-3866
Phone 312-404-9539
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