Individual provider · Type 1 NPI

Mikayla Ilyssa Pollard, MA

Student in an Organized Health Care Education/Training Program · Northbrook, IL

NPI number 1356066757 Active

Practice location

255 Revere Dr
Northbrook, IL 60062-1564

Call (847) 412-4352 Map

Mailing address

2391 Chambourd Dr
Buffalo Grove, IL 60089-4659

Specialties and licenses

TaxonomyCodeLicense
Psychologist 103T00000XNone listed
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1356066757

Mikayla Ilyssa Pollard, MA's National Provider Identifier is 1356066757, issued on Oct 7, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Northbrook, IL. The record was last updated on Oct 7, 2022.