Individual provider · Type 1 NPI

Andrew Vincent Shack, PhD

Clinical Psychologist · Oak Park, IL

NPI number 1659327229 Active

Practice location

1103 Westgate St, Suite 200
Oak Park, IL 60301-1088

Fax (708) 383-4298

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071-006231 (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 1659327229

Andrew Vincent Shack, PhD's National Provider Identifier is 1659327229, issued on May 25, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Oak Park, IL. The record was last updated on Feb 27, 2014.