Individual
JENNIFER BOOTHE BROBST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
18W100 22ND ST, SUITE 130, OAKBROOK TERRACE, IL 60181-4499
(630) 424-9204
(630) 424-9208
Mailing address
PO BOX 387, ADDISON, IL 60101-0387
(630) 495-8702
(630) 495-8703
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007544
IL
Other
Enumeration date
01/24/2009
Last updated
01/24/2009
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