Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 102L00000X | Psychologist | IL | |
N | 103T00000X | Psychologist | IL | |
N | 103TB0200X | Cognitive & Behavioral Psychologist | 7100002469 | IL |
N | 103G00000X | Clinical Psychologist | IL | |
N | 103TC0700X | Clinical Psychologist | IL | |
N | 103TH0004X | Health Psychologist | 7100002469 | IL |
NPI | 1447474473 |
---|---|
Provider Name | Dr. Katherine Anne Billingham |
First Address | Riverside, IL 60546-1735 |
Second Address | Chicago, IL 60611-3110 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 08/07/2007 |