Individual provider · Type 1 NPI

Dianna W. Bolen, PSYD

Clinical Psychologist · Chicago, IL

NPI number 1417089293 Active

Practice location

4350 N Hermitage Ave
Chicago, IL 60613-1106

Fax (773) 348-8220

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071006419 (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 1417089293

Dianna W. Bolen, PSYD's National Provider Identifier is 1417089293, issued on Mar 9, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Jun 29, 2009.