Individual provider · Type 1 NPI

Kyle W. Boerke, PSYD

Clinical Psychologist · Peoria, IL

NPI number 1225340805 Active

Practice location

7317 N Willow Lake Ct
Peoria, IL 61614-8227

Fax (309) 691-4408

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071007906 (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 1225340805

Kyle W. Boerke, PSYD's National Provider Identifier is 1225340805, issued on Jul 12, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Peoria, IL. The record was last updated on Jul 12, 2010.