NPI Profile for INTERNATIONAL MISSION CENTER CHURCH INC in LIBERTY, TX.
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 | Specialty Code | Provider Type | |
Clinical |
103TC0700X | 62 | Psychologist, Clinical | |
Addiction (Substance Use Disorder) |
103TA0400X | 62 | Psychologist, Clinical | |
Adult Day Care |
261QA0600X | |||
Adult Development & Aging |
103TA0700X | 62 | Psychologist, Clinical | |
Clinical Child & Adolescent |
103TC2200X | 62 | Psychologist, Clinical | |
Clinical Neuropsychologist |
103G00000X | |||
Cognitive & Behavioral |
103TB0200X | 62 | Psychologist, Clinical | |
Counseling |
103TC1900X | 62 | Psychologist, Clinical | |
Family |
103TF0000X | 62 | Psychologist, Clinical | |
Group Psychotherapy |
103TP2701X | 62 | Psychologist, Clinical | |
Intellectual & Developmental Disabilities |
103TM1800X | 62 | Psychologist, Clinical | |
Pastoral |
101YP1600X | |||
Psychoanalysis |
103TP0814X | 62 | Psychologist, Clinical | |
Psychologist |
103T00000X | 62 | Psychologist, Clinical |
| NPI Number | 1336224831 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/25/2006 | |
| Last updated | 06/16/2018 - About 8 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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