Organization · Type 2 NPI

Southern Il Institute of Behavioral Health PC

Clinical Psychologist · Glen Carbon, IL

NPI number 1346562881 Active

Practice location

9 Junction Dr W Ste 3
Glen Carbon, IL 62034-2931

Fax (618) 731-4082

Mailing address

PO Box 98
Edwardsville, IL 62025-0098

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X018.0007365 (IL)
Clinical Psychologist Primary 103TC0700X071.007664 (IL)
Clinical Social Worker 1041C0700XNone 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 1346562881

Southern Il Institute of Behavioral Health PC's National Provider Identifier is 1346562881, issued on Feb 25, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Glen Carbon, IL. The record was last updated on Sep 1, 2026.