| Doctor Name: | DR. JENNIFER SWENSEN |
| NPI Number: | 1194160333 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PSY.D. |
| License Number: | 071008592 |
| Business Practice Address: | 630 Vernon Ave #14 Glencoe, IL - 60022 |
| Business Phone Number: | 8472202414 |
| Business Fax Number: | |
| Mailing Address: | 630 Vernon Ave, #14 GLENCOE |
| State: | IL |
| Postal Code: | 60022 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 05/01/2013 |
| NPI Last Update Date: | 05/01/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | 071008592 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |