Healthcare Provider Details

I. General information

NPI: 1922872985
Provider Name (Legal Business Name): HEJNA & SELKIRK PSYCHOLOGICAL SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2023
Last Update Date: 11/09/2023
Certification Date: 11/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 N OAK PARK AVE STE 328
OAK PARK IL
60301-1375
US

IV. Provider business mailing address

906 COLUMBIAN AVE
OAK PARK IL
60302-1347
US

V. Phone/Fax

Practice location:
  • Phone: 708-837-4541
  • Fax:
Mailing address:
  • Phone: 708-837-4541
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TC0700X
TaxonomyClinical Psychologist
License Number
License Number State

VIII. Authorized Official

Name: KATHERINE HEJNA
Title or Position: OWNER
Credential: PSY.D.
Phone: 708-837-4541