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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TETYANA KOSTYSHYNA, PSYD, LCPC, LSOE/TP

Active

DR. TETYANA KOSTYSHYNA, PSYD, LCPC, LSOE/TP is a Clinical Psychologist healthcare provider located in ST CHARLES, Illinois. NPI 1083168041 is currently active in the NPPES registry. Verify at CMS.

Clinical Psychologist · ST CHARLES, IL

Registration Details

NPI Number
1083168041
Provider Type
Individual
Gender
Female
NPI Issued
Aug 8, 2016 (9.8381826361351 yrs)
Last Updated
Nov 4, 2024
Licenses
3415 - 57 (WI)
180009177 (IL)
071.009432 (IL)

Practice Information

Address
555 S RANDALL RD STE 204
ST CHARLES, IL, 601745918
Browse IL providers · Browse ZIP 60174
Phone
3128189300
Fax
8884882604
Primary Specialty
Clinical Psychologist
103TC0700X
Additional Specialty
Mental Health Counselor
Additional Specialty
Clinical Psychologist

Other Clinical Psychologist Providers in ST CHARLES, IL

Name Credential NPI
DR. TIMOTHY R. BUHRT PSY.D. 1063408250
KRYSTA M WINTERS PSY.D. 1508870452
DR. TAMARA A SUAREZ PSY.D. 1174535702
DR. ROSEMARY TAYLOR PH.D. 1194839233
DR. HEATHER HAREJ PSY.D. 1689788739
DR. JOHN MICHAEL EPPOLITO PSY.D. 1538273685
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.