Individual
DR. MARYELLEN MIKOLESKI RUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
5153 CRAIG RATH BLVD, MIDLOTHIAN, VA 23112-6258
(980) 785-1113
Mailing address
5153 CRAIG RATH BLVD, MIDLOTHIAN, VA 23112-6258
(980) 785-1113
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
3444
CT
Other
Enumeration date
12/18/2014
Last updated
10/23/2025
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