Organization · Type 2 NPI

Andersonville Psychology, PC

Clinical Psychologist · Chicago, IL

NPI number 1962924829 Active

Practice location

5412 N Clark St Ste 220
Chicago, IL 60640-1272

Mailing address

1641 W Farwell Ave Apt Nb
Chicago, IL 60626-6064

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071.009490 (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 1962924829

Andersonville Psychology, PC's National Provider Identifier is 1962924829, issued on Jul 12, 2017. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 12, 2017.