Individual provider · Type 1 NPI

Jazmin Lara, PhD

Clinical Psychologist · Chicago, IL

NPI number 1710897905 Active

Practice location

1925 N Clybourn Ave Ste 300
Chicago, IL 60614-7395

Call (773) 697-8839 Map

Mailing address

3405 W 59th Pl
Chicago, IL 60629-3624

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071.023389 (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 1710897905

Jazmin Lara, PhD's National Provider Identifier is 1710897905, issued on Sep 9, 2026. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Sep 10, 2026.