Organization
JOHN E FORHETZ PHD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN E FORHETZ PHD (OWNER)
(618) 344-7105
Entity
Organization
Contact information
Practice address
2B MEADOW HEIGHTS PROFESSIONAL PARK, COLLINSVILLE, IL 62234
(618) 344-7105
(618) 344-2516
Mailing address
103B SOUTHPOINTE, EDWARDSVILLE, IL 62025-3651
(618) 692-9640
(618) 692-9643
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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