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General NPI Number Information
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NPI Number | 1205362977
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Entity Type | Individual
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Provider Name | KRISTEN SUING PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2017
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Last Update Date | 11/11/2024
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Provider Practice Location Address
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Address Line | 600 S WASHINGTON ST STE 105
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City | NAPERVILLE
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State | IL
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Zip | 60540-6665
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Country | US
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Telephone | 630-206-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 21419 S JEFFREY DR
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City | MATTESON
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State | IL
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Zip | 60443-2431
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Country | US
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Telephone | 612-382-2718
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301016190
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 071.010182
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License Number State | IL
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