Individual provider · Type 1 NPI

Kelly A. Bushur, CP PH.D

Clinical Psychologist · Carbondale, IL

NPI number 1629248406 Active

Practice location

400 S Lewis Ln
Carbondale, IL 62901-3547

Call (618) 519-9900 Map

Fax (618) 529-1384

Mailing address

PO Box 577
Carterville, IL 62918-0577

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071005772 (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 1629248406

Kelly A. Bushur, CP PH.D's National Provider Identifier is 1629248406, issued on Mar 7, 2008. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Carbondale, IL. The record was last updated on Oct 23, 2014.