Individual
JON R NOVOTNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3 EQUESTRIAN CT N, GLEN CARBON, IL 62034-3200
(815) 343-9509
Mailing address
3 EQUESTRIAN CT N, GLEN CARBON, IL 62034-3200
(815) 343-9509
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009043
IL
Other
Enumeration date
10/01/2008
Last updated
10/22/2025
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