Individual
DR. KENNETH E HEINRICHS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD
Contact information
Practice address
755 E. MCARDLE DRIVE, SUITE E, CRYSTAL LAKE, IL 60014-1717
(815) 342-7181
(815) 344-9795
Mailing address
755 E MCARDLE DR, SUITE E, CRYSTAL LAKE, IL 60014-1717
(815) 342-7181
(815) 344-9795
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006063
IL
103TC0700X
Clinical Psychologist
2384057
WI
Other
Enumeration date
09/11/2006
Last updated
12/10/2010
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