Individual
DR. KRISTINA LOUISE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1653 W CONGRESS PARKWAY, 1200 KELLOGG, CHICAGO, IL 60612
(312) 563-1465
Mailing address
1653 W CONGRESS PKWY, CHICAGO, IL 60612-3833
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
071010681
IL
103TC0700X
Clinical Psychologist
Primary
071.010681
IL
Other
Enumeration date
05/11/2022
Last updated
08/19/2022
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