Organization
DR. KATHRYN M. CONWAY, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN M. CONWAY (CLINICAL PSYCHOLOGIST)
(773) 507-0609
Entity
Organization
Contact information
Practice address
10001 S WESTERN AVE, UNIT 4, CHICAGO, IL 60643-1943
(773) 507-0609
Mailing address
10001 S WESTERN AVE, UNIT 4, CHICAGO, IL 60643-1943
(773) 507-0609
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Enumeration date
08/20/2014
Last updated
08/20/2014
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