Kathy D Abbott, PSYD
Psychologist, Clinical in Evergreen Park, Illinois
1922188929- Practice location
- 3317 W 95TH St, Ste 205, Evergreen Park, IL 60805
- Phone
- 773-807-0936
- Fax
- 773-247-0507
- Last updated
- January 18, 2018
Kathy D Abbott, PSYD is a Psychologist, Clinical based in Evergreen Park, IL. Kathy D Abbott, PSYD holds the professional credentials of PSYD. The NPI number for Kathy D Abbott, PSYD is 1922188929 and holds license No. 071006594 (IL). The current practice location address is 3317 W 95TH St, Ste 205, Evergreen Park, IL 60805 and the office can be reached by phone at 773-807-0936 and by fax at 773-247-0507. The NPI was assigned on October 16, 2006 and the record was last updated in NPPES on January 18, 2018.
●Provider Profile Details
- NPI Number
- 1922188929
- Provider Name
- Kathy Dana Abbott
- Credential
- PSYD
- Entity Type
- Individual (Type 1 NPI)
- Gender
- Female
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Sole Proprietor
- Yes
- Enumeration Date
- October 16, 2006
- Last Update Date
- January 18, 2018
- NPI Status
- Active
- Other Names
- Mrs. Kathy Dana Shannon (Other Name)
◉Business Practice Location Address
- Address
- 3317 W 95TH St
Ste 205
Evergreen Park, IL 60805 - City
- Evergreen Park
- State
- Illinois
- ZIP
- 60805
- Country
- US
- Phone Number
- 773-807-0936
- Fax Number
- 773-247-0507
✉Business Mailing Address
- Address
- 4342 S Trumball Ave
Chicago, IL 60632 - City
- Chicago
- State
- IL
- ZIP
- 60632
- Phone Number
- 773-807-0936
- Fax Number
- 773-247-0507
✎Taxonomy & License Information
| Taxonomy | Code | Primary | License | State |
|---|---|---|---|---|
| Psychologist, Clinical | 103TC0700X | Yes | 071006594 | IL |
#Other Provider Identifiers
No legacy or other identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.
☉Other providers near Evergreen Park, IL
View all providers in Evergreen Park →?Frequently Asked Questions
What is the NPI number of Kathy D Abbott, PSYD?
The NPI number of Kathy D Abbott, PSYD is 1922188929. It was assigned on October 16, 2006 and is currently active in the NPPES registry.
What is the specialty of Kathy D Abbott, PSYD?
Kathy D Abbott, PSYD is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X) and holds license No. 071006594 (IL).
Where does Kathy D Abbott, PSYD practice?
The practice location is 3317 W 95TH St, Ste 205, Evergreen Park, IL 60805. The office can be reached at 773-807-0936 (phone) or 773-247-0507 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1922188929 directly on the NPPES registry website at npiregistry.cms.hhs.gov.