| Mary Mika, Psy.d. Pllc | |
|
720 Osterman Ave Ste 301 Deerfield IL 60015-4339 | |
| (708) 433-9582 | |
| Not Available |
| Full Name | Mary Mika, Psy.d. Pllc |
|---|---|
| Speciality | Psychologist - Clinical Child & Adolescent |
| Location | 720 Osterman Ave Ste 301, Deerfield, Illinois |
| Authorized Official Name and Position | Mary Mika (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 7084339582 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Mika, Psy.d. Pllc 603 Claire Ln Prospect Heights IL 60070-1667 Ph: (708) 433-9582 | Mary Mika, Psy.d. Pllc 720 Osterman Ave Ste 301 Deerfield IL 60015-4339 Ph: (708) 433-9582 |
| NPI Number | 1962010330 |
|---|---|
| Provider Enumeration Date | 07/21/2020 |
| Last Update Date | 07/21/2020 |
| Certification Date | 07/21/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962010330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TB0200X | Psychologist - Cognitive & Behavioral | (* (Not Available)) | Secondary |
| 103TC2200X | Psychologist - Clinical Child & Adolescent | (* (Not Available)) | Primary |
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