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 disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Clinical | 103TC0700X |
| Addiction (Substance Use Disorder) | 101YA0400X |
* Indicates primary specialty
| NPI Number | 1134171861 |
| Credentials | PH.D.. LAC |
| Entity | Individual |
| Enumeration date | 05/17/2006 |
| Last updated | 09/11/2025 - About 9 months ago |
| Sole proprietor1 | Not specified |
| Identifiers |
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| Hospital affiliation | n/a |
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.
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