Organization · Type 2 NPI

Tristate Wellness MGT LLC

Clinical Psychologist · Chicago, IL

NPI number 1609821164 Active

Practice location

2826 N Talman, Unit J
Chicago, IL 60618-7828

Fax (866) 587-1485

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist 103TC0700X336-008797 (IL)
Clinical Psychologist Primary 103TC0700X036093462 (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 1609821164

Tristate Wellness MGT LLC's National Provider Identifier is 1609821164, issued on May 23, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Jan 8, 2008.