Walter J Mickulick
School Counselor School Psychologist Clinical Psychologist Forensic Psychologist
5600 Brainerd Rd Ste B42
Chattanooga
, Tennessee 37411-5356
Walter J Mickulick
School Counselor School Psychologist Clinical Psychologist Forensic Psychologist
5600 Brainerd Rd Ste B42
Chattanooga
, Tennessee 37411-5356
(423) 296-6515
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About
Features
Specialties
- School Counselor
- Clinical Psychologist
- Forensic Psychologist
- School Psychologist
Languages spoken
- English
Location
First Address
- Walter J Mickulick
- 5600 Brainerd Rd Ste B42
- Chattanooga, TN
- Zip : 37411-5356
- Fax : (423) 296-6515
- Phone : (423) 605-1855
Second Address
- Walter J Mickulick
- 5600 Brainerd Rd Ste B42
- Chattanooga, TN
- Zip : 37411-5356
- Fax : (423) 296-6515
- Phone : (423) 605-1855
Reviews
FAQs
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Where is Walter J Mickulick ’s practice located?
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Is Walter J Mickulick a sole practitioner?
Is Walter J Mickulick accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YS0200X | School Counselor | 7147485 | TN |
| N | 103G00000X | Clinical Psychologist | 7137531 | TN |
| N | 103TC0700X | Clinical Psychologist | 7137531 | TN |
| Y | 103TF0200X | Forensic Psychologist | 7696871 | TN |
| N | 103TS0200X | School Psychologist | 7147485 | TN |
National Provider Identifier
| NPI | 1043578123 |
|---|---|
| Provider Name | Walter J Mickulick |
| First Address | Chattanooga, TN 37411-5356 |
| Second Address | Chattanooga, TN 37411-5356 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 26/04/2012 |
| Last Update Date | 26/04/2012 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.