Individual
DR. JENNIFER A ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
15 SPINNING WHEEL ROAD, SUITE 426, HINSDALE, IL 60521-2914
(630) 323-3050
(630) 323-3058
Mailing address
15 SPINNING WHEEL ROAD, SUITE 426, HINSDALE, IL 60521-2914
(630) 323-3050
(630) 323-3058
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007483
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1633920
BCBS
IL
Enumeration date
06/04/2008
Last updated
06/20/2012
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