Individual
DR. KRISTIN MARIE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LCP
Contact information
Practice address
1250 EXECUTIVE PL, SUITE #404, GENEVA, IL 60134-3807
(630) 631-2180
Mailing address
1250 EXECUTIVE PL, SUITE #404, GENEVA, IL 60134-3807
(630) 631-2180
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071.006406
IL
103TC0700X
Clinical Psychologist
Primary
071.006406
IL
103TC1900X
Counseling Psychologist
071.006406
IL
103TP2701X
Group Psychotherapy Psychologist
071.006406
IL
Other
Enumeration date
06/07/2010
Last updated
02/18/2013
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