Organization · Type 2 NPI

University of Illinois

Clinical Psychologist · Chicago, IL

NPI number 1962631010 Active

Practice location

1747 W Roosevelt Rd
Chicago, IL 60608-1264

Call (312) 413-1741 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071007706 (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 1962631010

University of Illinois's National Provider Identifier is 1962631010, issued on Jul 10, 2009. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 10, 2009.