Individual
DR. JENNA MARY FELCZAK-BERBERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
4700 W 95TH ST, SUITE LOWER LEVEL 5, OAK LAWN, IL 60453-2533
(800) 216-1110
(708) 346-4868
Mailing address
4700 W 95TH ST, SUITE LOWER LEVEL 5, OAK LAWN, IL 60453-2533
(800) 216-1110
(708) 346-4868
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008426
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071008426
IL
103TF0000X
Family Psychologist
071008426
IL
Other
Enumeration date
10/08/2012
Last updated
01/16/2013
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