Individual
DR. BRANDI KRISTEN BOAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
180.007281
IL
103G00000X
Clinical Neuropsychologist
—
—
103TC0700X
Clinical Psychologist
Primary
071008926
IL
103TP0016X
Prescribing (Medical) Psychologist
074000002
IL
Other
Enumeration date
02/06/2008
Last updated
10/22/2020
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