Individual provider · Type 1 NPI

Tracy Lynn Tilton, PhD

Health Service Psychologist · Chicago, IL

NPI number 1053516724 Active

Practice location

65 E Wacker Pl, 2240
Chicago, IL 60601-7296

Call (312) 621-9002 Map

Mailing address

858 N Franklin St Apt 501
Chicago, IL 60610-3177

Specialties and licenses

TaxonomyCodeLicense
Health Service Psychologist Primary 103TH0100XNone listed
Clinical Psychologist 103TC0700X071007798 (IL)

Health Service Psychologist: A psychologist, certified/licensed at the independent practice level in his/her state, who is duly trained and experienced in the delivery of direct, preventative, assessment, and therapeutic intervention services to individuals whose growth, adjustment, or functioning is actually impaired or is demonstrably at high risk of impairment (1974).

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About NPI 1053516724

Tracy Lynn Tilton, PhD's National Provider Identifier is 1053516724, issued on Jun 20, 2007. The primary taxonomy on file is Health Service Psychologist (103TH0100X), and the practice location is in Chicago, IL. The record was last updated on Nov 21, 2019.