Individual
DR. GREGORY SCOTT CRISENBERY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
708 CHURCH ST, EVANSTON, IL 60201-3875
(847) 686-4000
(847) 686-4000
Mailing address
324 ASBURY AVE, EVANSTON, IL 60202-3204
(847) 869-3148
(847) 686-4000
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005718
IL
Other
Enumeration date
06/10/2006
Last updated
08/26/2009
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