Organization · Type 2 NPI

Lifespan Behavioral Health P.c.

Clinical Psychologist · Chicago, IL

NPI number 1083299572 Active

Practice location

2502 N Clark St Ste 212
Chicago, IL 60614-1850

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700XNone listed

Clinical Psychologist: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of discip…

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About NPI 1083299572

Lifespan Behavioral Health P.c.'s National Provider Identifier is 1083299572, issued on Mar 16, 2021. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 15, 2026.