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Dr. K. Jod Taywaditep, PHD
Clinical Psychologist in Evanston, Illinois
NPI 1629171749

K. Jod Taywaditep is a Clinical Psychologist based in Evanston, IL and is specialized in Clinical. K. Jod Taywaditep practices in Evanston, IL and has the professional credentials of PHD. The NPI Number for K. Jod Taywaditep is 1629171749 and holds a License No. 71006528 (Illinois).

The current practice location address for K. Jod Taywaditep is 633 Emerson St, Evanston, IL and can be reached out via phone at 847-491-2151.

Location: 633 Emerson St, Evanston, IL, 60208-0844
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1629171749
Provider Name
K. Jod Taywaditep
Credential
PHD
Provider Entity Type
Individual
Gender
Male
Address
633 Emerson St, Evanston, IL, 60208-0844
Phone Number
847-491-2151
Fax Number
Provider Enumeration Date
09/06/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01634395 01 IL BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
633 Emerson St
City
Evanston
State
Illinois
Zip
60208-0844
Phone Number
847-491-2151
Fax Number
person
Provider Business Mailing Address Details
Address
633 Emerson St
City
Evanston
State
Illinois
Zip
60208-0844
Phone Number
847-491-2151
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
71006528 (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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