Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. JEFFREY DAVID KAZMIERCZAK, PSY.D
ActiveClinical Neuropsychologist · BOURBONNAIS, IL
Registration Details
- NPI Number
- 1902178015
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 4, 2012 (14.207290986983 yrs)
- Last Updated
- Apr 9, 2012
- License
-
071008293 (IL)
Practice Information
- Address
-
19 HERITAGE PLZSUITE 211BOURBONNAIS, IL, 609141369Browse IL providers · Browse ZIP 60914
- Phone
- 8159338760
- Fax
- 8159339061
- Primary Specialty
-
Clinical Neuropsychologist
103G00000X
- Additional Specialty
- Adult Development & Aging Psychologist
- Additional Specialty
- Child, Clinical Psychologist
- Additional Specialty
- Counseling Psychologist
- Additional Specialty
- Rehabilitation Psychologist
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.