Individual
DR. PATRICIA MIKOLS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D
Contact information
Practice address
255 S 17TH ST, SUITE 1010, PHILADELPHIA, PA 19103-6231
(215) 870-7839
(215) 732-8240
Mailing address
4023 APALOGEN RD, PHILADELPHIA, PA 19129-5501
(215) 844-4433
(215) 732-8240
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PS002747L
PA
Other
Enumeration date
02/07/2007
Last updated
08/03/2012
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