NPI 1124599022

Matthew Jordan Waxler, PSYD

Practitioner Clinical Psychologist Lincolnwood, IL

Practice location

Address: 6600 N Lincoln Ave STE 211, Lincolnwood, IL 60712-3641
Phone: (847) 226-9245
Mailing address: 4444 N Dover St APT 3s, Chicago, IL 60640-6258

Registered specialties

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 2653 (KS)

Other Psychologist providers in Illinois →

Registry record

NPI: 1124599022
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Dec 2018
Record last updated: 17 Dec 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.