| John E Forhetz Phd | |
|
2b Meadow Heights Professional Park Collinsville IL 62234 | |
| (618) 344-7105 | |
| (618) 344-2516 |
| Full Name | John E Forhetz Phd |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 2b Meadow Heights Professional Park, Collinsville, Illinois |
| Authorized Official Name and Position | John E Forhetz (OWNER) |
| Authorized Official Contact | 6183447105 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| John E Forhetz Phd 103b Southpointe Edwardsville IL 62025-3651 Ph: (618) 692-9640 | John E Forhetz Phd 2b Meadow Heights Professional Park Collinsville IL 62234 Ph: (618) 344-7105 |
| NPI Number | 1407928302 |
|---|---|
| Provider Enumeration Date | 11/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407928302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (Illinois) | Primary |
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