Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MICHELLE MARIE MICSKO, PH.D
Active Sole ProprietorDR. MICHELLE MARIE MICSKO, PH.D is a Clinical Psychologist healthcare provider located in LAKE QUIVIRA, Kansas. NPI 1770688228 is currently active in the NPPES registry. Verify at CMS.
Clinical Psychologist · LAKE QUIVIRA, KS
Registration Details
- NPI Number
- 1770688228
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 13, 2006 (19.894339957702 yrs)
- Last Updated
- Nov 23, 2021
- Licenses
-
PY01595 (MO)0818 (KS)
- Sole Proprietor
- Yes
Practice Information
- Address
-
515 HILLCREST RD ELAKE QUIVIRA, KS, 662178782Browse KS providers · Browse ZIP 66217
- Phone
- 9136313800
- Fax
- 9139487317
- Primary Specialty
-
Clinical Psychologist
103TC0700X
- Additional Specialty
- Clinical Psychologist
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.