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Mindy Forman, PSYD
Psychologist in Libertyville, Illinois
NPI 1851768725

Mindy Forman is a Psychologist based in Libertyville, IL. Mindy Forman practices in Libertyville, IL and has the professional credentials of PSYD. The NPI Number for Mindy Forman is 1851768725 and holds a License No. (Illinois).

The current practice location address for Mindy Forman is 1248 American Way, Libertyville, IL and can be reached out via phone at 224-433-6744.

Location: 1248 American Way, Libertyville, IL, 60048-3936
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1851768725
Provider Name
Mindy Forman
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1248 American Way, Libertyville, IL, 60048-3936
Phone Number
224-433-6744
Fax Number
Provider Enumeration Date
08/27/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1851768725 05 IL
institution
Provider Business Practice Location Address Details
Address
1248 American Way
City
Libertyville
State
Illinois
Zip
60048-3936
Phone Number
224-433-6744
Fax Number
person
Provider Business Mailing Address Details
Address
1248 American Way
City
Libertyville
State
Illinois
Zip
60048-3936
Phone Number
224-433-6744
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
071.009917 (Illinois)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
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.
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