Search › Illinois › 103T00000X
Mindy Forman, PSYD
NPI 1851768725 · on the registry since 2015
Practice
- Address
- 1248 American Way
Libertyville, IL 60048 - Phone
- (224) 433-6744
- Organisation at this address
- Peggy Wingo Ph.D., Llc
Kelly Behrends, Psyd, Pc
Wiegand Psychological Services, LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 14
Additional practice sites
- 6918 W Windsor Ave, Berwyn, IL
Registry record
- Primary taxonomy
- 103T00000X
103T00000X
- Also registered as
- 101Y00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2018-12-13
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois