Organization
MICHAEL PICA P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL PICA PSYD (PRESIDENT/CLINICAL PSYCHOLOGIST)
(630) 373-7349
Entity
Organization
Contact information
Practice address
4N701 SCHOOL RD STE A, ST CHARLES, IL 60175-6508
(630) 549-6497
(630) 549-0942
Mailing address
4N701 SCHOOL RD STE A, SAINT CHARLES, IL 60175-6508
(630) 549-6497
(630) 549-0942
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
111N00000X
Chiropractor
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/17/2012
Last updated
07/02/2019
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