Individual provider · Type 1 NPI
Mary Ellen Moore, PH D
Clinical Psychologist · Chicago, IL
Practice location
2648 W Pershing Rd
Chicago, IL 60632-1629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 071002095 (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 1487735940
Mary Ellen Moore, PH D's National Provider Identifier is 1487735940, issued on Oct 18, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on May 20, 2020.