| Mkp Psychology | |
|
820 Shannon Lake Ct Westmont IL 60559-2593 | |
| (312) 515-7841 | |
| Not Available |
| Full Name | Mkp Psychology |
|---|---|
| Speciality | Psychologist - Clinical |
| Location | 820 Shannon Lake Ct, Westmont, Illinois |
| Authorized Official Name and Position | Manasa K Perera (CLINICAL PSYCHOLOGIST) |
| Authorized Official Contact | 3125157841 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mkp Psychology 820 Shannon Lake Ct Westmont IL 60559-2593 Ph: (312) 515-7841 | Mkp Psychology 820 Shannon Lake Ct Westmont IL 60559-2593 Ph: (312) 515-7841 |
| NPI Number | 1134801780 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 08/03/2023 |
| Certification Date | 08/03/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134801780 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | (* (Not Available)) | Primary |
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