Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MRS. JENNIFER ANN MAMAK, ED.S.
ActiveSchool Psychologist · BOLINGBROOK, IL
Registration Details
- NPI Number
- 1073039350
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 17, 2017 (8.7078619363809 yrs)
- Last Updated
- Jul 21, 2022
- License
-
1848773 (IL)
Practice Information
- Address
-
1470 RAVEN DRBOLINGBROOK, IL, 604904510Browse IL providers · Browse ZIP 60490
- Phone
- 6307712420
- Primary Specialty
-
School Psychologist
103TS0200X
Other School Psychologist Providers in BOLINGBROOK, IL
| Name | Credential | NPI |
|---|---|---|
| MS. LATEENA SMITH | EDS | 1326569963 |
| MRS. LARA ELISABETH VAN BEEK | ED.S. | 1104342476 |
| MS. WENDY FULLMER | SCHOOL PSYCHOLOGIST | 1679099709 |
| NANCY BLUME | M.S., EDS. | 1770009805 |
| MR. TRISTAN HARTER | NCSP | 1588181408 |
| TAWANN JACKSON | ED.S, NCSP | 1710404496 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.