Dr. Andrea Kristin Busby, Ph.D.
Psychologist, Clinical in Evanston, IL. Individual provider (NPI-1).
NPI number1124393129
StatusActive
Last updated in NPPESSep 19, 2022
Details
- NPI
- 1124393129
- Entity type
- Individual (NPI-1)
- Name
- Dr. Andrea Kristin Busby
- Credential
- Ph.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Mar 9, 2012
- Certification date
- Sep 19, 2022
- Last updated
- Sep 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TC0700X | Psychologist, Clinical | 071009082 | IL | Yes |
Practice location
909 Davis St Ste 160Evanston, IL 60201-3664
Phone 847-425-6400 · Fax 847-425-6408
Mailing address
909 Davis St Ste 160Evanston, IL 60201-3664
Phone 847-425-6400 · Fax 847-425-6408
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