WALTER MICKULICK, M.A., MPA
Psychologist - Forensic
Active
Individual
NPI: 1043578123
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Counselor - School | 101YS0200X | No | 7147485 (TN) |
| Psychologist - Clinical | 103TC0700X | No | 7137531 (TN) |
| Psychologist - Forensic | 103TF0200X | Yes | 7696871 (TN) |
| Psychologist - School | 103TS0200X | No | 7147485 (TN) |
Frequently Asked Questions
NPI 1043578123 is the National Provider Identifier for WALTER MICKULICK, M.A., MPA, a Psychologist - Forensic provider located in Chattanooga, TN. This NPI was enumerated on April 26, 2012.
WALTER MICKULICK, M.A., MPA practices at 5600 BRAINERD RD STE B42, Chattanooga, TN 37411.
Quick Facts
- NPI
- 1043578123
- Type
- Individual
- Enumerated
- Apr 26, 2012
- Last Updated
- Apr 26, 2012
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