Individual
DR. COLIN A. BRIETZKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY. D.
Contact information
Practice address
1011 LAKE ST STE 200, OAK PARK, IL 60301-1137
(708) 320-1441
Mailing address
1011 LAKE ST STE 200, OAK PARK, IL 60301-1137
(708) 320-1411
(708) 328-3560
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071.008376
IL
103TC0700X
Clinical Psychologist
071008376
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071008376
IL
103TF0200X
Forensic Psychologist
071.008376
IL
Other
Enumeration date
07/09/2012
Last updated
05/07/2024
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