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Individual

MS. AMANDA M EJKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSY.D.

Contact information

Practice address
11800 SOUTH 75TH AVENUE, SUITE 300, PALOS HEIGHTS, IL 60463
(708) 671-8440
(708) 671-8446
Mailing address
11800 SOUTH 75TH AVENUE, SUITE 300, PALOS HEIGHTS, IL 60463
(708) 671-8440
(708) 671-8446

Taxonomy

Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
103T00000X
Psychologist
Primary
071.009010
IL

Other

Enumeration date
12/16/2011
Last updated
01/23/2015
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