Individual provider · Type 1 NPI

Mark A. Moulthrop, PhD

Clinical Psychologist · Evanston, IL

NPI number 1336294024 Active

Practice location

636 Church St, Suite 407
Evanston, IL 60201-4508

Call (847) 869-3702 Map

Fax (847) 869-8945

Specialties and licenses

TaxonomyCodeLicense
Clinical Neuropsychologist 103G00000XNone listed
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 1336294024

Mark A. Moulthrop, PhD's National Provider Identifier is 1336294024, issued on Jan 24, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Evanston, IL. The record was last updated on Sep 11, 2025.