TERRENCE JAMES KOLLER

EVANSTON, IL
NPI1487647715
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy103TC0700X Psychologist, Clinical
(Licence: IL  071002716)
Enumeration Date2005-08-23
Last Update Date2011-10-07
Business Address
Dr. TERRENCE JAMES KOLLER Ph.D.
1740 RIDGE AVE 200 C
EVANSTON, IL 60201-5918
Phone number: 847-475-5551
Mailing Address
Dr. TERRENCE JAMES KOLLER Ph.D.
2317 HARTREY AVE
EVANSTON, IL 60201-2552
Phone number: 847-864-2317