Mikitish, Michael J

Mikitish, Michael J is an individual health care provider with primary practice located at 60 Township Line Rd , Elkins Park PA 19027-2220. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Mikitish, Michael J can be contacted via phone (215) 831-2400.

Contact Information

Primary practice address
60 Township Line Rd Elkins Park PA 19027-2220
Phone: (215) 831-2400
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X PS004701L Pennsylvania

Profile Details

NPI number 1134415870
LBN Legal business name Mikitish, Michael J
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2011
Last updated Jun 21st, 2011 - about 14 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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