Individual provider · Type 1 NPI
Latonya Fourte-Lyles, MA PSYCHOLOGY
Professional Counselor · Merrionette Park, IL
NPI number
1316764434
Active
Practice location
3313 W 115th St
Merrionette Park, IL 60803-4556
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1316764434
Latonya Fourte-Lyles, MA PSYCHOLOGY's National Provider Identifier is 1316764434, issued on Sep 20, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Merrionette Park, IL. The record was last updated on Sep 20, 2024.