Organization
JO WOLTHUSEN, PSYD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JO WOLTHUSEN PSYD (OWNER)
(708) 560-6653
Entity
Organization
Contact information
Practice address
800 E NORTHWEST HWY STE 500, PALATINE, IL 60074-6511
(708) 560-6653
Mailing address
800 E NORTHWEST HWY STE 500, PALATINE, IL 60074-6511
(708) 560-6653
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005997
IL
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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