Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103TS0200X | School Psychologist | 1994728 | IL |
NPI | 1043823123 |
---|---|
Provider Name | Ms. Lindsay Ann Franklin |
First Address | Morton, IL 61550-8505 |
Second Address | Morton, IL 61550-8505 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/08/2020 |
Last Update Date | 28/08/2020 |