Search › Illinois › 103TC0700X
Tetyana Kostyshyna, PSYD, LCPC, LSOE/TP
NPI 1083168041 · on the registry since 2016
Practice
- Address
- 555 S Randall Rd Ste 204
St Charles, IL 60174 - Phone
- (312) 818-9300
- Fax
- (888) 488-2604
- Organisation at this address
- Specialized Forensic Unit Pc
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 103TC0700X
103TC0700X
- Also registered as
- 103T00000X
101YM0800X - Licence states on file
- WI, IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-11-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois