-- THANE DYKSTRA -- Ph.D.
Individual Provider (NPI-1)
Active
Psychologist, Clinical
Provider Information
- NPI Number
1619174943- Provider Type
- Individual Provider (NPI-1)
- Credentials
- Ph.D.
- Status
- Active
Contact & Location
- Address
- 18100 W OAK AVE, LOCKPORT, IL, 604416125
- Phone
- (815) 723-4894
Specialties & Taxonomies
Psychologist, Clinical
Primary License: IL #71005980
All Addresses
MAILING
2458 ERSKINE RD
JOLIET, IL, 604331612