Individual provider · Type 1 NPI
Robert Joseph Boucek Jr., PSY.D.
Clinical Psychologist · Champaign, IL
Practice location
2506 Galen Dr, #103
Champaign, IL 61821-7046
Fax (217) 398-0778
Mailing address
2506 Galen Drive, #103
Champaign, IL 61821-7047
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 071008794 (IL) |
| Clinical Psychologist | 103TC0700X | PSY23495 (CA) |
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…
4 other providers at this address
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- Julieann Krogel, PhDClinical Psychologist Champaign, IL NPI 1205162302
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About NPI 1508177734
Robert Joseph Boucek Jr., PSY.D.'s National Provider Identifier is 1508177734, issued on Jun 22, 2010. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Champaign, IL. The record was last updated on May 1, 2015.