Individual provider · Type 1 NPI

Ellen Koucky

Clinical Psychologist · Chicago, IL

NPI number 1487914081 Active

Practice location

820 S Damen Ave
Chicago, IL 60612-3728

Specialties and licenses

Taxonomy	Code	License
Student in an Organized Health Care Education/Training Program	390200000X	None listed
Clinical Psychologist Primary	103TC0700X	071.009048 (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 1487914081

Ellen Koucky's National Provider Identifier is 1487914081, issued on May 17, 2012. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Oct 18, 2022.