Tina Breitenbach

NPI #1841775145 in Mchenry, Illinois

Provider Information

NPI Number
1841775145
Entity Type
Individual
Name
Tina Breitenbach
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Psychologist - School
Enumeration Date
Oct 2, 2018
Last Updated
Oct 2, 2018

Practice Location

Address
1012 N GREEN ST
ZIP Code
60050-5721
Phone
(815) 363-3087

Specialties & Taxonomy Codes

Specialty
Psychologist - SchoolSchool

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