Organization · Type 2 NPI

Michael S Black PH D and Park Psychological Services Ltd

Clinical Psychologist · Glencoe, IL

NPI number 1407095466 Active

Practice location

473 Park Ave
Glencoe, IL 60022-1549

Fax (847) 835-3321

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071-000739 (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 1407095466

Michael S Black PH D and Park Psychological Services Ltd's National Provider Identifier is 1407095466, issued on Feb 16, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Glencoe, IL. The record was last updated on Feb 16, 2009.