Corespace Counseling, LLC

Clinical Psychologist · Tinley Park, IL

Organization Active NPI

NPI number 1225425713

Practice location

16335 Harlem Ave
Suite 401
Tinley Park, IL 60477-2574
Phone
(773) 332-7832

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NPI record

NPI
1225425713
Entity type
Organization (Type 2)
Enumeration date
April 22, 2015
Last updated
July 27, 2015
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Clinical Psychologist Primary 103TC0700X 071008860 IL

Authorized official

Name
Dr. Ryan Kerzman, PSYD
Title
Clinical Director
Phone
(773) 332-7832

About Corespace Counseling, LLC

Corespace Counseling, LLC is a healthcare organization registered in the NPI registry with the primary taxonomy Clinical Psychologist (code 103TC0700X). The practice location is 16335 Harlem Ave, Suite 401, Tinley Park, IL 60477-2574. The NPI number 1225425713 was assigned on April 22, 2015 and the record was last updated on July 27, 2015.

Corespace Counseling, LLC lists a license in the registry: #071008860 (IL) for Clinical Psychologist. License numbers are self-reported to NPPES; verify them with the state licensing board.

The authorized official for this organization is Dr. Ryan Kerzman, PSYD, Clinical Director.

Frequently asked questions

What is the NPI number of Corespace Counseling, LLC?

The NPI number is 1225425713.

What is the phone number of Corespace Counseling, LLC?

The phone number listed for the practice location is (773) 332-7832.

Where is Corespace Counseling, LLC located?

16335 Harlem Ave, Suite 401, Tinley Park, IL 60477-2574.

What is the taxonomy code for Corespace Counseling, LLC?

The primary taxonomy code is 103TC0700X – Clinical Psychologist.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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