Individual provider · Type 1 NPI

Anna R. Basov, PSYD, LCPC

Clinical Psychologist · Northbrook, IL

NPI number 1487901609 Active

Practice location

601 Skokie Blvd, Suite #LL-5D
Northbrook, IL 60062-2851

Fax (847) 881-0839

Mailing address

601 Skokie Boulevard, Suite #LL-5D
Northbrook, IL 60060-2813

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500X180.009063 (IL)
Professional Counselor 101YP2500X178.007955 (IL)
Clinical Psychologist Primary 103TC0700X071009153 (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 1487901609

Anna R. Basov, PSYD, LCPC's National Provider Identifier is 1487901609, issued on Aug 7, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Northbrook, IL. The record was last updated on Oct 28, 2015.