Individual provider · Type 1 NPI

Jerry Marvin Porzemsky, PhD

Clinical Psychologist · Chicago, IL

NPI number 1982794673 Active

Practice location

2909 W Fargo Ave
Chicago, IL 60645-1222

Fax (773) 262-4018

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X0711197 (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 1982794673

Jerry Marvin Porzemsky, PhD's National Provider Identifier is 1982794673, issued on Oct 13, 2006. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Jul 8, 2007.