DR. Lisa Ann Ditchek, PSYD

NPI #1548220866 in Niles, Illinois

Provider Information

NPI Number: 1548220866
Entity Type: Individual
Name: DR. Lisa Ann Ditchek, PSYD
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Mar 23, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 241 GOLF MILL CENTER
Address 2: STE 401
City: Niles
State: Illinois
ZIP Code: 60714
Phone: (847) 297-5380

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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