Individual
AMY JEANETTE MIKOLAJEWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
4641 FAIRFIELD ST STE A, METAIRIE, LA 70006-2763
(504) 875-4587
Mailing address
1440 CANAL ST, 8448, NEW ORLEANS, LA 70112-2703
(504) 988-4526
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
1419
LA
Other
Enumeration date
03/27/2017
Last updated
09/30/2020
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