Individual
DR. MICHAEL ROBERT MECOZZI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSY.D.
Contact information
Practice address
301 VETERANS PKWY, NEW LENOX, IL 60451-2899
(815) 717-1700
(815) 463-8101
Mailing address
301 VETERANS PKWY, NEW LENOX, IL 60451-2899
(815) 717-1700
(815) 463-8101
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
071008159
IL
Other
Enumeration date
06/24/2011
Last updated
06/23/2015
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