Individual provider · Type 1 NPI

Terrence James Koller, PhD

Clinical Psychologist · Evanston, IL

NPI number 1487647715 Active

Practice location

1740 Ridge Ave, 200 C
Evanston, IL 60201-5918

Call (847) 475-5551 Map

Mailing address

2317 Hartrey Ave
Evanston, IL 60201-2552

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071002716 (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 1487647715

Terrence James Koller, PhD's National Provider Identifier is 1487647715, issued on Aug 23, 2005. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Evanston, IL. The record was last updated on Oct 7, 2011.