Individual
DR. MICHELLE KALNASY POWELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
53 W JACKSON BLVD STE 662, CHICAGO, IL 60604-3452
(240) 298-4110
Mailing address
425 S OAK PARK AVE APT B, OAK PARK, IL 60302-4907
(240) 298-4110
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071009486
IL
Other
Enumeration date
07/31/2015
Last updated
07/16/2019
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