Individual
MARTHA JEANNE KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3042 N KENMORE AVE APT 2S, CHICAGO, IL 60657-9674
(260) 402-4300
Mailing address
3042 N KENMORE AVE APT 2S, CHICAGO, IL 60657-9674
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.009474
IL
Other
Enumeration date
05/16/2023
Last updated
05/16/2023
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