Organization · Type 2 NPI
Providence Center for Psychological Services
Clinical Psychologist · Wheaton, IL
Practice location
100 W Roosevelt Rd # B-203
Wheaton, IL 60187-5260
Fax (630) 221-0606
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 071006625 (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 1699109587
Providence Center for Psychological Services's National Provider Identifier is 1699109587, issued on Aug 27, 2013. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Wheaton, IL. The record was last updated on Aug 27, 2013.