MICHAEL J MIKITISH

ELKINS PARK, PA
NPI1134415870
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy103G00000X Clinical Neuropsychologist
(Licence: PA  PS004701L)
Enumeration Date2011-06-21
Last Update Date2011-06-21
Business Address
-- MICHAEL J MIKITISH PhD
60 TOWNSHIP LINE RD
ELKINS PARK, PA 19027-2220
Phone number: 215-831-2400
Mailing Address
-- MICHAEL J MIKITISH PhD
101 E OLNEY AVE SUITE 400
PHILADELPHIA, PA 19120-2421
Phone number: 215-254-2630
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