Organization · Type 2 NPI
Illinois State University
Clinical Psychologist · Normal, IL
Practice location
408 Fairchild Hall, Campus Box 4625
Normal, IL 61790
Fax (309) 438-7476
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Psychologist Primary | 103TC0700X | None listed |
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…
About NPI 1770615502
Illinois State University's National Provider Identifier is 1770615502, issued on Mar 9, 2007. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Normal, IL. The record was last updated on Aug 22, 2020.