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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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 6 months 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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