Individual
DR. PRESTON VISSER
Active
Individual
DR. PRESTON VISSER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103TC0700X
Clinical Psychologist
071.008690
IL
103TC0700X
Clinical Psychologist
Primary
3242
TN
Other
Enumeration date
08/25/2009
Last updated
10/28/2014
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