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 |
| Clinical Child & Adolescent | 103TC2200X | |
| Cognitive & Behavioral | 103TB0200X | |
| Counseling | 103TC1900X | |
| Family | 103TF0000X | |
| Group Psychotherapy | 103TP2701X |
* Indicates primary specialty
| NPI Number | 1215235643 |
| Credentials | PSY.D. (Doctor of Psychology) |
| Entity | Individual |
| Enumeration date | 03/09/2011 |
| Last updated | 10/19/2024 - More than a year ago |
| Sole proprietor1 | Yes |
| 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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