Provider Demographics
NPI:1235984683
Name:DASGUPTA, KASTUREE (PSYD, MSCP)
Entity Type:Individual
Prefix:DR
First Name:KASTUREE
Middle Name:
Last Name:DASGUPTA
Suffix:
Gender:F
Credentials:PSYD, MSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:545 N DEARBORN ST APT 2008
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60654-5835
Mailing Address - Country:US
Mailing Address - Phone:630-805-0925
Mailing Address - Fax:
Practice Address - Street 1:545 N DEARBORN ST APT 2008
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60654-5835
Practice Address - Country:US
Practice Address - Phone:630-805-0925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-19
Last Update Date:2024-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL071.011203103TC0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Single Specialty