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Dr. Terrence James Koller, PHD
Clinical Psychologist in Evanston, Illinois
NPI 1487647715

Terrence James Koller is a Clinical Psychologist based in Evanston, IL and is specialized in Clinical. Terrence James Koller practices in Evanston, IL and has the professional credentials of PHD. The NPI Number for Terrence James Koller is 1487647715 and holds a License No. 071002716 (Illinois).

The current practice location address for Terrence James Koller is 1740 Ridge Ave, Evanston, IL and can be reached out via phone at 847-475-5551. You can also correspond with Terrence James Koller through the mailing address at 2317 HARTREY AVE, EVANSTON, IL - 60201-2552 (mailing address contact number: 847-864-2317).

Location: 1740 Ridge Ave, Evanston, IL, 60201-2552
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487647715
Provider Name
Terrence James Koller
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
1740 Ridge Ave, Evanston, IL, 60201-2552
Phone Number
847-475-5551
Fax Number
Provider Enumeration Date
08/23/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01672636 01 IL BLUE CROSS/BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
1740 Ridge Ave
City
Evanston
State
Illinois
Zip
60201-5918
Phone Number
847-475-5551
Fax Number
person
Provider Business Mailing Address Details
Address
2317 Hartrey Ave
City
Evanston
State
Illinois
Zip
60201-2552
Phone Number
847-864-2317
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
071002716 (Illinois)
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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