Blaine, Gershenzon, and Heins

NPI #1417100991 in Glenview, Illinois

Provider Information

NPI Number: 1417100991
Entity Type: Organization
Organization Name: Blaine, Gershenzon, and Heins
Primary Specialty: Psychologist - Clinical
Enumeration Date: Oct 29, 2008
Last Updated: Oct 29, 2008

Practice Location

Address: 3411 VANTAGE LN
City: Glenview
State: Illinois
ZIP Code: 60026-1366
Phone: (847) 480-9671

Authorized Official

Name: BONNIE E GERSHENZON, MSW AND MA
Title: PSYCHOTHERAPIST
Phone: (847) 480-9671

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Social Worker - Clinical — Clinical	1041C0700X
Psychologist - Clinical — Clinical	103TC0700X	Primary

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