Kostyshyna, Tetyana

Kostyshyna, Tetyana is an individual health care provider with primary practice located at 303 N 2Nd St Ste 22 , St Charles IL 60174-1804. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kostyshyna, Tetyana can be contacted via phone (312) 818-9300.

Contact Information

Primary practice address
303 N 2Nd St Ste 22 St Charles IL 60174-1804
Phone: (312) 818-9300
Fax: (888) 488-2604
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180009177 Illinois
Behavioral Health & Social Service Providers / Psychologist 103T00000X 3415 - 57 Wisconsin
Behavioral Health & Social Service Providers / Clinical 103TC0700X 071.009432 Illinois

Profile Details

NPI number 1083168041
LBN Legal business name Kostyshyna, Tetyana
Credentials PSYD, LCPC, LSOE/TP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2016
Last updated Feb 17th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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