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Miss Ellen Koucky
Clinical Psychologist in Chicago, Illinois
NPI 1487914081

Ellen Koucky is a Clinical Psychologist based in Chicago, IL and is specialized in Clinical. Ellen Koucky practices in Chicago, IL. The NPI Number for Ellen Koucky is 1487914081 and holds a License No. (Illinois).

The current practice location address for Ellen Koucky is 820 S Damen Ave, Chicago, IL and can be reached out via phone at 708-990-5295.

Location: 820 S Damen Ave, Chicago, IL, 60612-3728
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487914081
Provider Name
Ellen Koucky
Credential
Provider Entity Type
Individual
Gender
Female
Address
820 S Damen Ave, Chicago, IL, 60612-3728
Phone Number
708-990-5295
Fax Number
Provider Enumeration Date
05/17/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
820 S Damen Ave
City
Chicago
State
Illinois
Zip
60612-3728
Phone Number
708-990-5295
Fax Number
person
Provider Business Mailing Address Details
Address
820 S Damen Ave
City
Chicago
State
Illinois
Zip
60612-3728
Phone Number
708-990-5295
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
071.009048 (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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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