| Thane Dykstra, PHD | |
|
18100 W Oak Ave, Lockport, IL 60441-6125 | |
| (815) 723-4894 | |
| Not Available |
| Full Name | Thane Dykstra |
|---|---|
| Gender | Male |
| Speciality | Psychologist - Clinical |
| Location | 18100 W Oak Ave, Lockport, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619174943 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TC0700X | Psychologist - Clinical | 71005980 (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Thane Dykstra, PHD 2458 Erskine Rd, Joliet, IL 60433-1612 Ph: () - | Thane Dykstra, PHD 18100 W Oak Ave, Lockport, IL 60441-6125 Ph: (815) 723-4894 |
Carl V Indovina, PH.D. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 18100 W Oak Ave, Lockport, IL 60441 Phone: 815-774-0327 Fax: 815-774-0443 | |
Jennifer A Godlove, M.A. Psychologist Medicare: Not Enrolled in Medicare Practice Location: 17414 Fox Bend Ln, Lockport, IL 60441 Phone: 312-502-0594 | |
Erica Barrett, Psychologist Medicare: Not Enrolled in Medicare Practice Location: 710 N State St, Lockport, IL 60441 Phone: 815-838-8020 |