Provider Demographics
NPI:1194878256
Name:KERMAN, DOBBI ARIEL (PHD)
Entity type:Individual
Prefix:DR
First Name:DOBBI
Middle Name:ARIEL
Last Name:KERMAN
Suffix:
Gender:F
Credentials:PHD
Other - Prefix:DR
Other - First Name:D
Other - Middle Name:ARIEL
Other - Last Name:KERMAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHD
Mailing Address - Street 1:1531 N WELLS ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60610-7752
Mailing Address - Country:US
Mailing Address - Phone:312-335-3737
Mailing Address - Fax:312-335-4747
Practice Address - Street 1:1531 N WELLS ST
Practice Address - Street 2:SUITE 200
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60610-7752
Practice Address - Country:US
Practice Address - Phone:312-335-3737
Practice Address - Fax:312-335-4747
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health