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Individual

DR. GARTH W AMUNDSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PSY.D.

Contact information

Practice address
1010 LAKE ST STE 110, OAK PARK, IL 60301-1106
(708) 416-6475
(855) 625-7406
Mailing address
1010 LAKE ST STE 110, OAK PARK, IL 60301-1106
(708) 416-6475

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071005077
IL
103TC0700X
Clinical Psychologist
LP6307
MN

Other

Enumeration date
12/26/2006
Last updated
02/20/2025
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