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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KAYLA NEISEN, NCSP, SSP

Active Sole Proprietor

KAYLA NEISEN, NCSP, SSP is a Psychologist healthcare provider located in BOWEN, Illinois. NPI 1730606443 is currently active in the NPPES registry. Verify at CMS.

Psychologist · BOWEN, IL

Registration Details

NPI Number
1730606443
Provider Type
Individual
Gender
Female
NPI Issued
Aug 23, 2017 (8.9587380564203 yrs)
Last Updated
Mar 17, 2018
License
904011 (IL)
Sole Proprietor
Yes

Practice Information

Address
607 N WORRELL ST
BOWEN, IL, 623161048
Browse IL providers · Browse ZIP 62316
Phone
2178425236
Primary Specialty
Psychologist
103T00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.