Individual
DR. KRISTIN R DAVISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
1010 LAKE ST STE 200, OAK PARK, IL 60301-1132
(210) 201-2776
Mailing address
1010 LAKE ST STE 20, OAK PARK, IL 60301-1147
(210) 201-2776
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008238
IL
Other
Enumeration date
11/30/2011
Last updated
03/23/2022
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