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 | |
Exclusive Provider Organization |
302F00000X | |||
Health Maintenance Organization |
302R00000X | |||
Point of Service |
305S00000X | |||
Preferred Provider Organization |
305R00000X |
| NPI # | 1558536094 |
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| LBN Legal business name | PARK RIDGE COUNSELING LLC | ||||||||||||||||
| Authorized official | TARA THOMPSON - (PARTNER/OWNER) | ||||||||||||||||
| Entity | Organization | ||||||||||||||||
| Organization subpart 1 | No | ||||||||||||||||
| Enumeration date | 04/25/2008 | ||||||||||||||||
| Last updated | 09/24/2008 - About 18 years ago | ||||||||||||||||
| Identifiers |
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