Individual
DR. DEBRA A KISSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1300 W BELMONT AVE, SUITE 306, CHICAGO, IL 60657-3200
(312) 598-3645
Mailing address
1300 W BELMONT AVE, SUITE 306, CHICAGO, IL 60657-3200
(312) 598-3645
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
071.008342
IL
Other
Enumeration date
06/14/2012
Last updated
12/10/2013
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