Individual
MIRKA IVANOVIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
636 CHURCH ST, SUITE 510, EVANSTON, IL 60201-4508
(847) 864-0600
Mailing address
636 CHURCH ST, SUITE 510, EVANSTON, IL 60201-4508
(847) 864-0600
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071.008491
IL
Other
Enumeration date
09/13/2007
Last updated
05/02/2015
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