Individual provider · Type 1 NPI

Doris M. Van Byssum I, PSY.D.

Psychiatric/Mental Health Nurse Practitioner · Wheaton, IL

NPI number 1063515369 Active

Practice location

1725 S Naperville Rd, Suite 206
Wheaton, IL 60189-5805

Fax (630) 653-8409

Mailing address

174 S Montclair Ave
Glen Ellyn, IL 60137-6357

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X071-004744 (IL)
Psychiatric/Mental Health Nurse Practitioner Primary 363LP0808X209.010527041.189584 (IL)

Psychiatric/Mental Health Nurse Practitioner: Definition to come...

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About NPI 1063515369

Doris M. Van Byssum I, PSY.D.'s National Provider Identifier is 1063515369, issued on Sep 6, 2006. The primary taxonomy on file is Psychiatric/Mental Health Nurse Practitioner (363LP0808X), and the practice location is in Wheaton, IL. The record was last updated on Mar 14, 2017.