Individual provider · Type 1 NPI

Michael J. Blacconiere, PhD

Clinical Psychologist · Hines, IL

NPI number 1801977269 Active

Practice location

Hines Va Hospital, 5th Ave & Roosevelt Rd
Hines, IL 60141

Mailing address

1339 Margret St
Des Plaines, IL 60018-1522

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X71004033 (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 1801977269

Michael J. Blacconiere, PhD's National Provider Identifier is 1801977269, issued on Oct 18, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Hines, IL. The record was last updated on Jul 8, 2007.