Jaclyn Kamradt Phd, P.c. | |
2081 Calistoga Dr Ste 2n New Lenox IL 60451-4833 | |
(708) 373-9440 | |
Not Available |
Full Name | Jaclyn Kamradt Phd, P.c. |
---|---|
Speciality | Psychologist - Clinical |
Location | 2081 Calistoga Dr Ste 2n, New Lenox, Illinois |
Authorized Official Name and Position | Jaclyn Kamradt (CLINICAL PSYCHOLOGIST) |
Authorized Official Contact | 7083739440 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Jaclyn Kamradt Phd, P.c. 11545 Ashbury Ct Mokena IL 60448-9490 Ph: (708) 373-9440 | Jaclyn Kamradt Phd, P.c. 2081 Calistoga Dr Ste 2n New Lenox IL 60451-4833 Ph: (708) 373-9440 |
NPI Number | 1396450706 |
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Provider Enumeration Date | 01/19/2023 |
Last Update Date | 01/19/2023 |
Certification Date | 01/19/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1396450706 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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