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NPI Code Detail

MEDICARE: KRISTEN KAY DUNNETT PSY.D.

MEDICARE:   KRISTEN KAY DUNNETT  PSY.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health Counselor178.006571IL
2103TC0700XClinical Psychologist071.010222IL

General Provider Information

NPI Number : 1699088401
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN KAY DUNNETT PSY.D.
Provider Business Mailing Address
First Line : 218 N KENSINGTON AVE
Second Line :
City : LA GRANGE
State : IL
Zip : 60525-1868
Country : US
Telephone Number : 708-638-4467
Fax Number :
Provider Business Practice Location Address
First Line : 15 SPINNING WHEEL RD STE 118
Second Line :
City : HINSDALE
State : IL
Zip : 60521-2983
Country : US
Telephone Number : 888-726-7170
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/21/2010
Last Update Date : 05/26/2020

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