Individual
DR. KELLY RENZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
14722 S NAPERVILLE RD STE 116, PLAINFIELD, IL 60544-3310
(815) 683-8700
Mailing address
14722 S NAPERVILLE RD STE 116, PLAINFIELD, IL 60544-3310
(815) 683-8700
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071007402
IL
171W00000X
Contractor
071007402
IL
Other
Enumeration date
01/03/2008
Last updated
05/31/2022
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