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MIKAYLA ILYSSA POLLARD MA NPI 1356066757


NPI Information

NPI: 1356066757
Provider Name: MIKAYLA ILYSSA POLLARD, MA
Classification: Student in an Organized Health Care Education/Training Program - 390200000X
Entity Type: Individual
Address:
255 REVERE DR
NORTHBROOK, IL
ZIP 60062
Phone: (847) 412-4352
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Mikayla Ilyssa Pollard, MA is a student in an organized health care education training program in Northbrook, IL. The provider is 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. Mikayla Ilyssa Pollard, MA NPI is 1356066757. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

255 REVERE DR
NORTHBROOK, IL
ZIP 60062-564
Phone: (847) 412-4352

The enumeration date for this NPI number is 10/7/2022 and was last updated on 10/7/2022.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103T00000XPsychologistNo
2390200000XStudent in an Organized Health Care Education/Training ProgramYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.