Miss. Ellen Koucky
Miss. Ellen Koucky is a Student in an Organized Health Care Education/Training Program in Chicago, Illinois. Licensed in Illinois. Registered with an NPI since 2012.
- Licensed in
- IL
- In the registry since
- 2012
- Specialties on file
- 2
Practice location Address checks out
Chicago, ILNo coordinates on file. Search this address in Google Maps
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 071.009048 (IL) |
|---|---|
| Student in an Organized Health Care Education/Training Program | Taxonomy 390200000X |
Record details
| NPI number | 1487914081 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | May 17, 2012 |
| Last updated in NPPES | October 18, 2022 |
| Certification date | October 18, 2022 |
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