Individual
KATHY DANA ABBOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
3317 W 95TH ST, STE 205, EVERGREEN PARK, IL 60805
(773) 807-0936
(773) 247-0507
Mailing address
4342 S TRUMBALL AVE, CHICAGO, IL 60632
(773) 807-0936
(773) 247-0507
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071006594
IL
Other
Enumeration date
10/16/2006
Last updated
01/18/2018
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