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Organization
MARY MIKA, PSY.D. PLLC
Active
Organization
MARY MIKA, PSY.D. PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY MIKA PSY.D. (CLINICAL PSYCHOLOGIST)
(708) 433-9582
Entity
Organization
Contact information
Practice address
720 OSTERMAN AVE STE 301, DEERFIELD, IL 60015-4339
(708) 433-9582
Mailing address
603 CLAIRE LN, PROSPECT HEIGHTS, IL 60070-1667
(708) 433-9582
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
Primary
—
—
Other
Enumeration date
07/21/2020
Last updated
07/21/2020
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