Etchison, Mona L

Etchison, Mona L is an individual health care provider with primary practice located at 12255 S 80Th Avenue Suite 202, Palos Heights IL 60463. She recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as her primary health care specialty. Etchison, Mona L can be contacted via phone (708) 923-7878.

Contact Information

Primary practice address
12255 S 80Th Avenue Suite 202 Palos Heights IL 60463
Phone: (708) 923-7878
Fax: (708) 923-7888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X Illinois

Profile Details

NPI number 1083700769
LBN Legal business name Etchison, Mona L
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 4th, 2006
Last updated Jul 8th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1083700769 NPPES
Illinois Other 0991516762 BCBS
Illinois Other 7229P BCBS
Illinois Other 219043 BCBS
Illinois Other 536182 BCBS

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