Organization
CORESPACE COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RYAN KERZMAN PSYD (CLINICAL DIRECTOR)
(773) 332-7832
Entity
Organization
Contact information
Practice address
16335 HARLEM AVE, SUITE 401, TINLEY PARK, IL 60477-2574
(773) 332-7832
Mailing address
16335 HARLEM AVE, SUITE 401, TINLEY PARK, IL 60477-2574
(773) 332-7832
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008860
IL
Other
Enumeration date
04/22/2015
Last updated
07/27/2015
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