Individual
DR. PAMELA KRISTINE NIESLUCHOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1580 N NORTHWEST HWY, STE. 125, PARK RIDGE, IL 60068-1444
(773) 616-4908
Mailing address
4414 N PAULINA ST, #3, CHICAGO, IL 60640-5363
(773) 616-4908
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
71006693
IL
Other
Enumeration date
04/10/2007
Last updated
07/08/2007
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