NPI 1104247709

Jessica Mikulecky, PSYD

Practitioner Clinical Psychologist Palos Heights, IL

Practice location

Address: 11800 S 75th Ave Third Floor, Palos Heights, IL 60463-1033
Phone: (708) 671-8440
Fax: (708) 671-8446

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 071009204 (IL)

Other Psychologist providers in Illinois →

Professional Counselor

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence 178.009650 (IL)

Other Counselor providers in Illinois →

Registry record

NPI: 1104247709
Entity type: Individual
Sex (as registered): Female
NPI issued: 27 Dec 2013
Record last updated: 10 Dec 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.