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Contact Information

THE TRAUMA & ANXIETY PSYCHOLOGICAL SERVICES CLINIC
1114 W BALMORAL AVE APT 1E
CHICAGO, IL60640-1720
 Phone: 773-379-8129
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Cognitive & Behavioral

103TB0200X 62 Psychologist, Clinical
 

Counseling

103TC1900X 62 Psychologist, Clinical
 

Group Psychotherapy

103TP2701X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for THE TRAUMA ANXIETY PSYCHOLOGICAL SERVICES CLINIC · (Female)

NPI Number 1821984568
Status Active
Credentials
Entity Individual
Enumeration date 06/17/2025
Last updated 06/17/2025 - About 12 months ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
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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