Brietzke, Colin A.
Brietzke, Colin A. is an sole proprietor health care provider with primary practice located at 1011 Lake St Ste 200 , Oak Park IL 60301-1137. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Brietzke, Colin A. can be contacted via phone (708) 320-1441.Contact Information
Primary practice address
1011 Lake St Ste 200
Oak Park IL 60301-1137
Phone: (708) 320-1441
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 071008376 | Illinois |
| Behavioral Health & Social Service Providers / Clinical Child & Adolescent | 103TC2200X | 071008376 | Illinois |
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | 071.008376 | Illinois |
| Behavioral Health & Social Service Providers / Clinical Neuropsychologist | 103G00000X | 071.008376 | Illinois |
Profile Details
| NPI number | 1558626267 |
|---|---|
| LBN Legal business name | Brietzke, Colin A. |
| Credentials | PSY. D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2012 |
| Last updated | May 7th, 2024 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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