Individual
MIKAYLA ILYSSA POLLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
255 REVERE DR, NORTHBROOK, IL 60062-1564
(847) 412-4352
Mailing address
2391 CHAMBOURD DR, BUFFALO GROVE, IL 60089-4659
(847) 826-7312
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/07/2022
Last updated
10/07/2022
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