Individual
CHERYL LYNN BRONECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
915 E 5TH ST, ALTON, IL 62002-6434
(618) 463-5442
(618) 474-6242
Mailing address
PO BOX 340, ALTON, IL 62002-0340
(618) 474-6240
(618) 474-6242
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
08/25/2006
Last updated
07/08/2007
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