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Dr. Michael Patrick Kahwaji, PSYD
Clinical Psychologist in Bloomington, Illinois
NPI 1679509806

Michael Patrick Kahwaji is a Clinical Psychologist based in Bloomington, IL and is specialized in Clinical. Michael Patrick Kahwaji practices in Bloomington, IL and has the professional credentials of PSYD. The NPI Number for Michael Patrick Kahwaji is 1679509806 and holds a License No. (Illinois).

The current practice location address for Michael Patrick Kahwaji is 2502 B East Empire, Bloomington, IL and can be reached out via phone at 309-663-7220 and via fax at 309-664-6687. You can also correspond with Michael Patrick Kahwaji through the mailing address at PO BOX 604, BLOOMINGTON, IL - 61702-0604 (mailing address contact number: 309-663-7220).

Location: 2502 B East Empire, Bloomington, IL, 61702-0604
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679509806
Provider Name
Michael Patrick Kahwaji
Credential
PSYD
Provider Entity Type
Individual
Gender
Male
Address
2502 B East Empire, Bloomington, IL, 61702-0604
Phone Number
309-663-7220
Fax Number
309-664-6687
Provider Enumeration Date
06/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
044404 01 IL HEALTH ALLIANCE
institution
Provider Business Practice Location Address Details
Address
2502 B East Empire
City
Bloomington
State
Illinois
Zip
61704
Phone Number
309-663-7220
Fax Number
309-664-6687
person
Provider Business Mailing Address Details
Address
2502 B East Empire
City
Bloomington
State
Illinois
Zip
61704
Phone Number
309-663-7220
Fax Number
309-664-6687
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
(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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