Individual
DR. CRYSTAL ASHLEY KANNANKERIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
30 N MICHIGAN AVE, SUITE 1909, CHICAGO, IL 60602-3402
(312) 834-3076
Mailing address
30 N MICHIGAN AVE, SUITE 502, CHICAGO, IL 60602
(312) 834-3076
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008430
IL
Other
Enumeration date
03/14/2013
Last updated
09/25/2017
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