Individual provider · Type 1 NPI

Persell Jefferson

Clinical Psychologist · Chicago, IL

NPI number 1992580666 Active

Practice location

11337 S Wallace St
Chicago, IL 60628-4729

Specialties and licenses

TaxonomyCodeLicense
Clinical Psychologist Primary 103TC0700X1110-1110 (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 1992580666

Persell Jefferson's National Provider Identifier is 1992580666, issued on Aug 30, 2023. The primary taxonomy on file is Clinical Psychologist (103TC0700X), and the practice location is in Chicago, IL. The record was last updated on Aug 30, 2023.