Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WALTER J MICKULICK, M.A., MPA
Active Sole ProprietorWALTER J MICKULICK, M.A., MPA is a Forensic Psychologist healthcare provider located in CHATTANOOGA, Tennessee. NPI 1043578123 is currently active in the NPPES registry. Verify at CMS.
Forensic Psychologist · CHATTANOOGA, TN
Registration Details
- NPI Number
- 1043578123
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 26, 2012 (14.315868228441 yrs)
- Last Updated
- Apr 26, 2012
- Licenses
-
7147485 (TN)7137531 (TN)7696871 (TN)7147485 (TN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
5600 BRAINERD RD STE B42CHATTANOOGA, TN, 374115356Browse TN providers · Browse ZIP 37411
- Phone
- 4236051855
- Fax
- 4232966515
- Primary Specialty
-
Forensic Psychologist
103TF0200X
- Additional Specialty
- Clinical Psychologist
- Additional Specialty
- Forensic Psychologist
- Additional Specialty
- School Psychologist
Other Forensic Psychologist Providers in CHATTANOOGA, TN
| Name | Credential | NPI |
|---|---|---|
| WILLIAM MICHAEL HILLNER | PHD | 1699748954 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.