Organization
ML ETCHISON AND ASSOCIATES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MONA LUAN ETCHISON PSY.D. (PRESIDENT)
(708) 269-3050
Entity
Organization
Contact information
Practice address
7350 W COLLEGE DR, SUITE #106, PALOS HEIGHTS, IL 60463-1149
(708) 269-3050
(708) 579-0169
Mailing address
745 N WAIOLA AVE, LA GRANGE PARK, IL 60526-1451
(708) 269-3050
(708) 579-0169
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
071007027
IL
Other
Enumeration date
04/05/2014
Last updated
07/30/2015
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