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Dr. Mirna E Ballestas, PSYD
Clinical Psychologist in Chicago, Illinois
NPI 1942427521

Mirna E Ballestas is a Clinical Psychologist based in Chicago, IL and is specialized in Clinical. Mirna E Ballestas practices in Chicago, IL and has the professional credentials of PSYD. The NPI Number for Mirna E Ballestas is 1942427521 and holds a License No. 180-005584 (Illinois).

The current practice location address for Mirna E Ballestas is 4633 N Western Ave Ste 205, Chicago, IL and can be reached out via phone at 312-476-9588.

Location: 4633 N Western Ave Ste 205, Chicago, IL, 60625-3918
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1942427521
Provider Name
Mirna E Ballestas
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
4633 N Western Ave Ste 205, Chicago, IL, 60625-3918
Phone Number
312-476-9588
Fax Number
Provider Enumeration Date
04/18/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
4633 N Western Ave Ste 205
City
Chicago
State
Illinois
Zip
60625-2087
Phone Number
312-476-9588
Fax Number
person
Provider Business Mailing Address Details
Address
4633 N Western Ave Ste 205
City
Chicago
State
Illinois
Zip
60625-2087
Phone Number
312-476-9588
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
071.007650 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
180-005584 (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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