Kissen, Debra A

Kissen, Debra A is an individual health care provider with primary practice located at 1300 W Belmont Ave Suite 306, Chicago IL 60657-3200. She recently has only one registered license in Behavioral Health & Social Service Providers / Cognitive & Behavioral, which is considered as her primary health care specialty. Kissen, Debra A can be contacted via phone (312) 598-3645.

Contact Information

Primary practice address
1300 W Belmont Ave Suite 306 Chicago IL 60657-3200
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X 071.008342 Illinois

Profile Details

NPI number 1528320553
LBN Legal business name Kissen, Debra A
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2012
Last updated Dec 10th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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