Organization
LISA A. DITCHEK, PSY.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LISA ANN DITCHEK PSY.D. (PRESIDENT/CLINICAL PSYCHOLOGIST)
(847) 390-0800
Entity
Organization
Contact information
Practice address
1580 N NORTHWEST HWY, 116 A, PARK RIDGE, IL 60068-1444
(847) 390-0800
(847) 390-0802
Mailing address
1580 N NORTHWEST HWY, 116 A, PARK RIDGE, IL 60068-1444
(847) 390-0800
(847) 390-0802
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071-005203
IL
Other
Enumeration date
07/16/2007
Last updated
03/19/2015
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