Provider Demographics
NPI:1700059714
Name:SVEJDA, KIRSTEN TESNAR (PSYD)
Entity Type:Individual
Prefix:DR
First Name:KIRSTEN
Middle Name:TESNAR
Last Name:SVEJDA
Suffix:
Gender:F
Credentials:PSYD
Other - Prefix:DR
Other - First Name:KIRSTEN
Other - Middle Name:ANN
Other - Last Name:TESNAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PSYD
Mailing Address - Street 1:715 LAKE ST STE 500
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60301-1414
Mailing Address - Country:US
Mailing Address - Phone:312-208-9457
Mailing Address - Fax:
Practice Address - Street 1:715 LAKE ST STE 500
Practice Address - Street 2:
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60301-1414
Practice Address - Country:US
Practice Address - Phone:312-208-9457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-10
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071007779103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinical