Individual
DR. STEPHANIE MISHEVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSY.D.
Contact information
Practice address
9245 CALUMET AVE STE 101A, MUNSTER, IN 46321-4172
(773) 888-3148
Mailing address
4928 W 87TH LN, CROWN POINT, IN 46307-1614
(219) 789-5189
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
20043053A
IN
103TC0700X
Clinical Psychologist
20043053A
IN
103TC1900X
Counseling Psychologist
20043053A
IN
Other
Enumeration date
12/26/2017
Last updated
09/06/2019
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