Individual
BETHANY A ROSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2608 N WASHTENAW AVE, CHICAGO, IL 60647-5715
(815) 322-6715
Mailing address
2608 N WASHTENAW AVE, CHICAGO, IL 60647-5715
(815) 322-6715
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
071-010941
IL
Other
Enumeration date
05/07/2019
Last updated
11/05/2024
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