Provider Demographics
NPI:1780717983
Name:TERRILYN KERR, PSY.D. AND ASSOCIATES, P.C.
Entity type:Organization
Organization Name:TERRILYN KERR, PSY.D. AND ASSOCIATES, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED CLINICAL PSYCHOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:TERRILYN
Authorized Official - Middle Name:
Authorized Official - Last Name:KERR
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:773-388-8757
Mailing Address - Street 1:3000 N HALSTED ST STE 505
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60657-9270
Mailing Address - Country:US
Mailing Address - Phone:773-388-8757
Mailing Address - Fax:312-957-4485
Practice Address - Street 1:3000 N HALSTED ST STE 505
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60657-9270
Practice Address - Country:US
Practice Address - Phone:773-388-8757
Practice Address - Fax:312-957-4485
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-14
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071-006676103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL02232711OtherBCBS PROVIDER #