Individual
DR. MICHAEL EDWIN BRICKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D., LCP
Contact information
Practice address
655 W IRVING PARK RD, SUITE 201, CHICAGO, IL 60613-3123
(773) 527-1304
Mailing address
655 W IRVING PARK RD, SUITE 201, CHICAGO, IL 60613-3123
(773) 428-0159
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.007755
IL
Other
Enumeration date
08/06/2008
Last updated
11/03/2009
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