Individual
KATHLEEN M HUMPHREYS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CLINICAL PSYCHOLOGIS
Contact information
Practice address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(224) 306-1879
(224) 306-1878
Mailing address
60 REVERE DR STE 100, NORTHBROOK, IL 60062-1590
(224) 306-1879
(224) 306-1878
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010626
IL
Other
Enumeration date
08/17/2022
Last updated
08/17/2022
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