Provider Demographics
NPI:1295883627
Name:HEDBERG, HOPE W (MA LMFI)
Entity type:Individual
Prefix:MS
First Name:HOPE
Middle Name:W
Last Name:HEDBERG
Suffix:
Gender:F
Credentials:MA LMFI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18161 MORRIS
Mailing Address - Street 2:STE 208
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430
Mailing Address - Country:US
Mailing Address - Phone:708-798-5433
Mailing Address - Fax:708-798-5706
Practice Address - Street 1:18161 MORRIS
Practice Address - Street 2:STE 208
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430
Practice Address - Country:US
Practice Address - Phone:708-798-5433
Practice Address - Fax:708-798-5706
Is Sole Proprietor?:No
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN168106H00000X
IL106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist