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Individual

DR. BRENDA ANN HUSFELDT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PHD

Contact information

Practice address
9933 LAWLER AVE, SUITE 314, SKOKIE, IL 60077
(847) 502-3706
(847) 919-3919
Mailing address
PO BOX 617, NORTHBROOK, IL 60065
(847) 502-3706
(847) 919-3919

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP2966
MN
103T00000X
Psychologist
Primary
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
37609
MAGELLAN
Enumeration date
11/07/2006
Last updated
07/08/2007
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