Jennie Probst

NPI #1053970848 in Manhattan, Illinois

Provider Information

NPI Number: 1053970848
Entity Type: Individual
Name: Jennie Probst
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist - School
Enumeration Date: Jun 6, 2019
Last Updated: Jun 6, 2019

Practice Location

Address: 25440 S GOUGAR RD
City: Manhattan
State: Illinois
ZIP Code: 60442-9511
Phone: (815) 478-6093

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - School — School	103TS0200X	Primary

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