Individual provider · Type 1 NPI

Courtney K. Domenico, PSYD

Clinical Psychologist · Chicago, IL

NPI number 1104055953 Active

Practice location

1300 W Belmont Ave, Suite 302
Chicago, IL 60657-3200

Call (773) 883-5398 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071007703 (IL)

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 1104055953

Courtney K. Domenico, PSYD's National Provider Identifier is 1104055953, issued on Jul 14, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Apr 28, 2016.