Individual
DR. JEFFREY GALLANT WAPNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
50 75TH ST, SUITE 212, WILLOWBROOK, IL 60527-2393
(914) 329-4185
Mailing address
7213 BATEMAN ST, DOWNERS GROVE, IL 60516-3793
(914) 329-4185
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
008511-1
NY
103TC0700X
Clinical Psychologist
071.008571
IL
Other
Enumeration date
03/16/2009
Last updated
05/31/2013
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