Thane Dykstra, PH.D.

NPI #1619174943 in Lockport, Illinois

Provider Information

NPI Number
1619174943
Entity Type
Individual
Name
Thane Dykstra, PH.D.
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Psychologist - Clinical
Credential
PH.D.
Enumeration Date
Jun 29, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
18100 W OAK AVE
ZIP Code
60441-6125
Phone
(815) 723-4894

Specialties & Taxonomy Codes

Specialty
Psychologist - ClinicalClinical

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