Individual
DR. KRISANNA SHARON BLASBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
2135 CITYGATE LN, STE. 300, NAPERVILLE, IL 60563-3066
(630) 755-5300
(331) 236-0370
Mailing address
PO BOX 584, NORTH AURORA, IL 60542-0140
(630) 755-5300
(331) 236-0370
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103T00000X
Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
071.011194
IL
Other
Enumeration date
09/16/2016
Last updated
10/03/2024
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