Dennis J Niswonger, Psy D, SC
Dennis J Niswonger, Psy D, SC provides Clinical Psychologist services in Orland Park, Illinois. Licensed in Illinois. Registered with an NPI since 2008.
- Licensed in
- IL
- In the registry since
- 2008
Practice location Address checks out
15040 S Ravinia Ave Ste 49Orland Park, IL 60462-3194 Not confirmed with CMS for 16 years — call before visiting
Phone: (708) 364-3232
Fax: (708) 364-3233
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 071-007045 (IL) |
|---|
Record details
| NPI number | 1760656581 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Dennis Niswonger — Owner · (708) 364-3232 |
| NPI enumerated | April 14, 2008 |
| Last updated in NPPES | February 18, 2010 |
| Mailing address | 15040 S Ravinia Ave, Suite 49, Orland Park, IL 60462-3194 |
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