Individual provider · Type 1 NPI

Joseph Eli Wallach, PhD

Clinical Psychologist · Evanston, IL

NPI number 1336453265 Active

Practice location

2530 Crawford Ave, Suite 304
Evanston, IL 60201-4970

Fax (847) 869-8116

Mailing address

2741 W Greenleaf Ave
Chicago, IL 60645-3013

Specialties and licenses

TaxonomyCodeLicense
Cognitive & Behavioral Psychologist 103TB0200X071007942 (IL)
Clinical Psychologist Primary 103TC0700X071007942 (IL)
Health Psychologist 103TH0004X071007942 (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 1336453265

Joseph Eli Wallach, PhD's National Provider Identifier is 1336453265, issued on Aug 3, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Evanston, IL. The record was last updated on Dec 22, 2011.