Provider Demographics
NPI:1922872985
Name:HEJNA & SELKIRK PSYCHOLOGICAL SERVICES LLC
Entity Type:Organization
Organization Name:HEJNA & SELKIRK PSYCHOLOGICAL SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HEJNA
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:708-837-4541
Mailing Address - Street 1:906 COLUMBIAN AVE
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-1347
Mailing Address - Country:US
Mailing Address - Phone:708-837-4541
Mailing Address - Fax:
Practice Address - Street 1:137 N OAK PARK AVE STE 328
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1375
Practice Address - Country:US
Practice Address - Phone:708-837-4541
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty