DR. Mikell Ryanne Ehnle, PSYD

NPI #1780973925 in Peoria, Illinois

Provider Information

NPI Number: 1780973925
Entity Type: Individual
Name: DR. Mikell Ryanne Ehnle, PSYD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Psychologist
Credential: PSYD
Enumeration Date: Mar 28, 2011
Last Updated: Sep 24, 2018

Practice Location

Address: 3716 W BRIGHTON AVE
City: Peoria
State: Illinois
ZIP Code: 61615-2938
Phone: (309) 692-7755

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist	103T00000X	Primary

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