Individual provider · Type 1 NPI
Edward Staba, PSY.D
Psychologist · Marion, IL
Practice location
2401 W Main St
Marion, IL 62959-1188
Mailing address
205 Archelle Dr
Carbondale, IL 62901-1956
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Psychologist Primary | 103T00000X | 071.010207 (IL) |
Psychologist: A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustmen…
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About NPI 1275164543
Edward Staba, PSY.D's National Provider Identifier is 1275164543, issued on Jan 27, 2020. The primary taxonomy on file is Psychologist (103T00000X), and the practice location is in Marion, IL. The record was last updated on Jan 27, 2020.