Individual
DR. JEFFREY DAVID KAZMIERCZAK
Active
Individual
DR. JEFFREY DAVID KAZMIERCZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
071008293
IL
103TA0700X
Adult Development & Aging Psychologist
—
—
103TC0700X
Clinical Psychologist
071008293
IL
103TC1900X
Counseling Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TF0200X
Forensic Psychologist
071008293
IL
103TR0400X
Rehabilitation Psychologist
—
—
Other
Enumeration date
02/04/2012
Last updated
04/09/2012
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