Individual
DR. ELENA MIKALSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
333 NORTH SANTA ROSA, CHILDREN'S HOSPITAL OF SAN ANTONIO, SAN ANTONIO, TX 78207
(210) 704-4807
Mailing address
2 GREENWAY PLZ, HOUSTON, TX 77046-0297
(210) 872-2332
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
2671-057
WI
103TC0700X
Clinical Psychologist
Primary
36237
TX
103TC2200X
Clinical Child & Adolescent Psychologist
36237
TX
Other
Enumeration date
02/08/2007
Last updated
10/09/2020
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