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Stacy N Clark, PSYD
Student in an Organized Health Care Education/Training Program in Winfield, Illinois
NPI 1821669409

Stacy N Clark is a Student in an Organized Health Care Education/Training Program based in Winfield, IL. Stacy N Clark practices in Winfield, IL and has the professional credentials of PSYD. The NPI Number for Stacy N Clark is 1821669409 and holds a License No. (Illinois).

The current practice location address for Stacy N Clark is 28W671 Garys Mill Rd, Winfield, IL and can be reached out via phone at 630-293-9860 and via fax at 630-293-9861. You can also correspond with Stacy N Clark through the mailing address at 28W671 GARYS MILL RD, WINFIELD, IL - 60190-1564 (mailing address contact number: 630-293-9860).

Location: 28W671 Garys Mill Rd, Winfield, IL, 60190-1564
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1821669409
Provider Name
Stacy N Clark
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
28W671 Garys Mill Rd, Winfield, IL, 60190-1564
Phone Number
630-293-9860
Fax Number
630-293-9861
Provider Enumeration Date
07/06/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
28W671 Garys Mill Rd
City
Winfield
State
Illinois
Zip
60190-1564
Phone Number
630-293-9860
Fax Number
630-293-9861
person
Provider Business Mailing Address Details
Address
28W671 Garys Mill Rd
City
Winfield
State
Illinois
Zip
60190-1564
Phone Number
630-293-9860
Fax Number
630-293-9861
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
-
Taxonomy
103T00000X
License No.
()
Definition
A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public.
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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