Individual provider · Type 1 NPI

Chad Drake

Clinical Psychologist · Carbondale, IL

NPI number 1891169629 Active

Practice location

625 Wham Dr, Room 141
Carbondale, IL 62901-4313

Fax (618) 453-6130

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071008612 (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 1891169629

Chad Drake's National Provider Identifier is 1891169629, issued on Nov 17, 2015. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Carbondale, IL. The record was last updated on Nov 17, 2015.