Individual
DR. AMANDA LINN WEIGEL-KUZNACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
630 VERNON AVE, SUITE G, GLENCOE, IL 60022-1681
(847) 835-1770
Mailing address
630 VERNON AVE, SUITE G, GLENCOE, IL 60022-1681
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.008202
IL
Other
Enumeration date
10/13/2011
Last updated
08/31/2015
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