Organization
KATHY ABBOTT PSYD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHY DANA ABBOTT PSYD (PRESIDENT)
(773) 807-0936
Entity
Organization
Contact information
Practice address
3317 W 95TH ST, STE 205, EVERGREEN PARK, IL 60805
(773) 807-0936
(773) 247-0507
Mailing address
3317 W 95TH ST, STE 205, EVERGREEN PARK, IL 60805
(773) 807-0936
(773) 247-0507
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103TC0700X
Clinical Psychologist
Primary
—
IL
Other
Enumeration date
11/21/2006
Last updated
03/13/2008
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