Individual provider · Type 1 NPI

Jonathan William Thomas-Stagg, LICENSED PSYCHOLOGIS

Clinical Psychologist · Champaign, IL

NPI number 1992074215 Active

Practice location

701 Devonshire Dr
Champaign, IL 61820-7337

Call (309) 657-4904 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X071008196 (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 1992074215

Jonathan William Thomas-Stagg, LICENSED PSYCHOLOGIS's National Provider Identifier is 1992074215, issued on Dec 14, 2011. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Champaign, IL. The record was last updated on Feb 19, 2018.