Individual provider · Type 1 NPI
Ethan Elliot Stark, PSYD
Clinical Psychologist · Chicago, IL
Practice location
3580 W Medill Ave Apt 2
Chicago, IL 60647-2440
Mailing address
70 S River St
Aurora, IL 60506-5185
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | 071.010910 (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 1730607771
Ethan Elliot Stark, PSYD's National Provider Identifier is 1730607771, issued on Aug 30, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Jun 8, 2023.