Diane Louise Wallendjack, EDD, NCSP - Psychologist in Riverside, IL

Diane Louise Wallendjack, EDD, NCSP is a Psychologist - School based in Riverside, Illinois. Diane Louise Wallendjack is licensed to practice in Illinois (license number 899294) and her current practice location is 65 Woodside Rd, Riverside, Illinois. She can be reached at her office (for appointments etc.) via phone at (708) 447-3896.

NPI number for Diane Louise Wallendjack is 1689183592 and her current mailing address is 65 Woodside Rd, Riverside, Illinois. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1689183592.

Contact Information

Diane Louise Wallendjack, EDD, NCSP
65 Woodside Rd,
Riverside, IL 60546-1974
(708) 447-3896
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDiane Louise Wallendjack
GenderFemale
SpecialityPsychologist - School
Location65 Woodside Rd, Riverside, Illinois
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1689183592
  • Provider Enumeration Date: 09/22/2017
  • Last Update Date: 07/21/2022

Medical Identifiers

Medical identifiers for Diane Louise Wallendjack such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1689183592NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
103TS0200XPsychologist - School 899294 (Illinois)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Diane Louise Wallendjack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Diane Louise Wallendjack, EDD, NCSP
65 Woodside Rd,
Riverside, IL 60546-1974

Ph: (708) 447-3896
Diane Louise Wallendjack, EDD, NCSP
65 Woodside Rd,
Riverside, IL 60546-1974

Ph: (708) 447-3896

Reviews and Comments


Psychologist in Riverside, IL

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Lauren E Heilbrunn,
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Carly Williamson, SSP, NCSP
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Practice Location: 65 Woodside Rd, Riverside, IL 60546
Phone: 708-447-7183    

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