Individual
H KINTON ROSSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1634 W COLUMBIA AVE APT 1N, CHICAGO, IL 60626-4166
(270) 348-6313
Mailing address
1634 W COLUMBIA AVE APT 1N, CHICAGO, IL 60626-4166
(270) 348-6313
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.010043
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
403416313001
—
IL
Enumeration date
09/16/2011
Last updated
08/02/2024
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