Individual
DR. MISCHA ANTIN TURSICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D., L.P.
Contact information
Practice address
1400 MADISON AVE, SUITE 352, MANKATO, MN 56001-5473
(507) 625-1811
Mailing address
1230 E MAIN ST, P.O. BOX 8674, MANKATO, MN 56001-5066
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
LP5713
MN
103TB0200X
Cognitive & Behavioral Psychologist
LP5713
MN
103TC0700X
Clinical Psychologist
Primary
LP5713
MN
103TH0004X
Health Psychologist
LP5713
MN
103TH0100X
Health Service Psychologist
LP5713
MN
103TP2701X
Group Psychotherapy Psychologist
LP5713
MN
Other
Enumeration date
05/14/2014
Last updated
08/05/2020
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