NPI 1578813663

Christina Mikell, PSYD

Practitioner Clinical Psychologist Melrose Park, IL

Practice location

Address: 675 W North Ave Suite 306, Melrose Park, IL 60160-1634
Phone: (847) 440-2148
Fax: (773) 347-2656
Mailing address: 5120 Thorncroft CT, Royal Oak, MI 48073-1110

Registered specialties (2)

Clinical Psychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 6301016944 (MI)

Other Psychologist providers in Illinois →

Clinical Psychologist

Behavioral Health & Social Service Providers Taxonomy 103TC0700X Licence 071009129 (IL)

Registry record

NPI: 1578813663
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Sep 2012
Record last updated: 12 Aug 2022

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.