Individual
DR. LISA KINDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
801 HESSEL BLVD, CHAMPAIGN, IL 61820-6342
(503) 449-8740
Mailing address
801 HESSEL BLVD, CHAMPAIGN, IL 61820-6342
(503) 449-8740
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071.007930
IL
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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