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Modify, P.c.
Clinical Psychologist in Naperville, Illinois
NPI 1457479503

Modify, P.c. is a Clinical Psychologist based in Naperville, IL and is specialized in Clinical. Modify, P.c. practices in Naperville, IL. The NPI Number for Modify, P.c. is 1457479503 and holds a License No. (Illinois).

The current practice location address for Modify, P.c. is 2272 95Th St Ste 305, Naperville, IL and can be reached out via phone at 630-753-9800 and via fax at 630-753-9798.

Location: 2272 95Th St Ste 305, Naperville, IL, 60564-8944
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1457479503
Provider Name
Modify, P.c.
Credential
Provider Entity Type
Organization
Address
2272 95Th St Ste 305, Naperville, IL, 60564-8944
Phone Number
630-753-9800
Fax Number
630-753-9798
Provider Enumeration Date
03/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
09923724 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
2272 95Th St Ste 305
City
Naperville
State
Illinois
Zip
60564-8944
Phone Number
630-753-9800
Fax Number
630-753-9798
person
Provider Business Mailing Address Details
Address
2272 95Th St Ste 305
City
Naperville
State
Illinois
Zip
60564-8944
Phone Number
630-753-9800
Fax Number
630-753-9798
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
071005399 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
()
Definition
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.
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