Individual
DR. TODD HUENECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
2135 COLONIAL ST, AURORA, IL 60503-4611
(630) 253-5821
Mailing address
2135 COLONIAL ST, AURORA, IL 60503-4611
(630) 253-5821
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008798
IL
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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