Provider Demographics
NPI:1710960406
Name:RENNHOFER, KARLA A (PHD, ABPP, BCETS)
Entity Type:Individual
Prefix:DR
First Name:KARLA
Middle Name:A
Last Name:RENNHOFER
Suffix:
Gender:F
Credentials:PHD, ABPP, BCETS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 N STEVENSON LN
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-2719
Mailing Address - Country:US
Mailing Address - Phone:872-248-4278
Mailing Address - Fax:312-210-7681
Practice Address - Street 1:203 N STEVENSON LN
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-2719
Practice Address - Country:US
Practice Address - Phone:847-652-1315
Practice Address - Fax:312-210-7681
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-28
Last Update Date:2021-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.006234103TC0700X
IL071-006234103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical