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Contact Information

MONA L ETCHISON, PSYD
12255 S 80TH AVENUE
SUITE 202
PALOS HEIGHTS, IL60463
 Phone: 708-923-7878
 Fax: 708-923-7888
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for MONA L ETCHISON · (Female)

NPI # 1083700769
Status Active
Credentials PSYD (Doctor of Psychology)
Entity Individual
Enumeration date 10/04/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • IL Other 0991516762 BCBS
  • IL Other 7229P CATERPILLAR
  • IL Other 219043 MAGELLAN
  • IL Other 536182 VALUE BEHAVIORAL HEALTH
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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