Individual
DR. CHERYL L. HENNIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9 JUNCTION DR W, SUITE 3, GLEN CARBON, IL 62034-2931
(618) 972-1568
(618) 654-8231
Mailing address
9 JUNCTION DR W STE 3, GLEN CARBON, IL 62034-2931
(618) 972-1598
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071004745
IL
Other
Enumeration date
04/10/2015
Last updated
08/26/2015
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