Individual provider · Type 1 NPI

Kelley Thuy-Ly Phan

Clinical Psychologist · Chicago, IL

NPI number 1114433463 Active

Practice location

259 E Erie St Ste 1600
Chicago, IL 60611-3111

Call (312) 695-6868 Map

Fax (312) 695-2729

Other practice locations

  • 1650 Moon Lake Blvd, Hoffman Estates, IL 60169-1010 · (714) 404-0383

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X071010616 (CA)
Clinical Psychologist Primary 103TC0700X071010616 (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 1114433463

Kelley Thuy-Ly Phan's National Provider Identifier is 1114433463, issued on Dec 22, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Nov 14, 2022.