Provider Demographics
NPI:1053648279
Name:MALEC, ANNE BRENNAN (PSYD, LMFT)
Entity type:Individual
Prefix:DR
First Name:ANNE
Middle Name:BRENNAN
Last Name:MALEC
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 N WACKER DR
Mailing Address - Street 2:SUITE 1442
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-2806
Mailing Address - Country:US
Mailing Address - Phone:312-372-4745
Mailing Address - Fax:
Practice Address - Street 1:20 N WACKER DR
Practice Address - Street 2:SUITE 1442
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-2806
Practice Address - Country:US
Practice Address - Phone:312-372-4745
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-09
Last Update Date:2010-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL166.000780106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist