Jaclyn Kamradt Phd, P.c.

NPI #1396450706 in New Lenox, Illinois

Provider Information

NPI Number: 1396450706
Entity Type: Organization
Organization Name: Jaclyn Kamradt Phd, P.c.
Primary Specialty: Psychologist - Clinical
Enumeration Date: Jan 19, 2023
Last Updated: Jan 19, 2023

Practice Location

Address: 2081 CALISTOGA DR STE 2N
City: New Lenox
State: Illinois
ZIP Code: 60451-4833
Phone: (708) 373-9440

Authorized Official

Name: DR. JACLYN KAMRADT, PHD
Title: CLINICAL PSYCHOLOGIST
Phone: (708) 373-9440

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Clinical — Clinical	103TC0700X	Primary

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