Individual
DR. KATHRYN MARIE CONWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
2401 W 104TH ST, CHICAGO, IL 60655-1006
(773) 507-0609
Mailing address
2401 W 104TH ST, CHICAGO, IL 60655-1006
(773) 507-0609
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007500
IL
103TC2200X
Clinical Child & Adolescent Psychologist
071007500
IL
Other
Enumeration date
09/16/2008
Last updated
04/14/2025
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