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Individual

DR. JOHN E FORHETZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD

Contact information

Practice address
2 MEADOW HEIGHTS PROFESIONAL PARK, COLLINSVILLE, IL 62234-4487
(618) 344-7105
(618) 344-2516
Mailing address
2B MEADOW HEIGHTS PROFESIONAL PARK, COLLINSVILLE, IL 62234-4487
(618) 344-7105
(618) 344-2516

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071002061
IL

Other

Enumeration date
03/04/2006
Last updated
04/25/2012
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