Individual
NIKHITA MOOLAYIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2715 N CENTRAL AVE, CHICAGO, IL 60639-1351
(773) 360-1389
Mailing address
2715 N CENTRAL AVE, CHICAGO, IL 60639-1351
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071011200
IL
Other
Enumeration date
07/16/2020
Last updated
03/27/2025
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