Individual provider · Type 1 NPI

Michael J. Balthazor, PhD

Clinical Psychologist · Skokie, IL

NPI number 1386882793 Active

Practice location

4711 Golf Rd, Suite 1100
Skokie, IL 60076-1224

Call (847) 933-9339 Map

Fax (847) 933-0874

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071-006684 (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 1386882793

Michael J. Balthazor, PhD's National Provider Identifier is 1386882793, issued on Jan 23, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Skokie, IL. The record was last updated on Jan 23, 2009.