Provider Demographics
NPI:1932295458
Name:KLAPPERICH, DENA JILL (PSYD)
Entity Type:Individual
Prefix:DR
First Name:DENA
Middle Name:JILL
Last Name:KLAPPERICH
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3012 LIBERTY LANE
Mailing Address - Street 2:
Mailing Address - City:LINDENHURST
Mailing Address - State:IL
Mailing Address - Zip Code:60046-7892
Mailing Address - Country:US
Mailing Address - Phone:847-245-8786
Mailing Address - Fax:847-549-8006
Practice Address - Street 1:977 LAKEVIEW PARKWAY
Practice Address - Street 2:SUITE 180
Practice Address - City:VERNON HILLS
Practice Address - State:IL
Practice Address - Zip Code:60061
Practice Address - Country:US
Practice Address - Phone:847-612-7141
Practice Address - Fax:847-549-8006
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical