Individual
KRISTIN VELAZQUEZ KENEFICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY. D.
Contact information
Practice address
4433 W TOUHY AVE, SUITE 500, LINCOLNWOOD, IL 60712-1820
(773) 243-9954
(314) 271-4041
Mailing address
7016 N SIOUX AVE, CHICAGO, IL 60646-1214
(773) 243-9954
(314) 271-4041
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-006107
IL
Other
Enumeration date
05/08/2007
Last updated
10/14/2011
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