# DR. TAMARA CODER MIKINSKI

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1801930177
- **Gender:** F
- **Credential:** PHD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | 01693 | MO | — |
| 103T00000X | Psychologist | 6301015897 | MI | — |
| 103T00000X | Psychologist | 884 | KS | Yes |
| 103T00000X | Psychologist | — | NULL | — |
| 103TC1900X | Counseling Psychologist | 884 | KS | — |
| 103TC1900X | Counseling Psychologist | — | NULL | — |
| 103TF0000X | Family Psychologist | 884 | KS | — |
| 103TP2701X | Group Psychotherapy Psychologist | 884 | KS | — |

## Other

- **Enumeration date:** 02/19/2007
- **Last updated:** 10/21/2020