-- KIRK W BOYENGA -- PhD
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1568500056- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PhD
- Status
- Active
Contact & Location
- Address
- 1124 SOUTH SIXTH STREET, SPRINGFIELD, IL, 627030406
- Phone
- (217) 523-3143
- Fax
- (217) 523-7695
Specialties & Taxonomies
Psychologist, Clinical
Primary License: IL #071004451