Taxonomy Code 103TC0700X(103tc0700x)
Clinical Psychologist. Providers: 10

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Clinical Psychologist Providers

NPI Name Type Address

1952370579

MR. LLP Reginald E Marsack

Individual

33101 Annapolis St

Wayne, MI

1720167166

MS. MA LLP Janice Marie Kornacki

Individual

33101 Annapolis St

Wayne, MI

1811185846

MR. M.S. L.L.P. Thomas Micheal Shaker

Individual

35425 W Michigan Ave

Wayne, MI

1548677248

TLLP Ewa Jablecki

Individual

35640 W Michigan Ave

Wayne, MI

1144344417

PHD Colin F King

Individual

34841 Veterans Plz

Wayne, MI

1710360573

Grant Martin Ellison

Individual

35640 W Michigan Ave

Wayne, MI

1487164034

TLLP Juanita Houston

Individual

34841 Veterans Plz

Wayne, MI

1063930758

Dave Wesley Bussell II

Individual

34841 Veterans Plz

Wayne, MI

1285227967

Asia Amir Hall

Individual

37640 Hillcrest Dr

Wayne, MI

1750723318

MS, LLP, BCBA, CIRT Rebecca Cowell

Individual

34826 Richard St

Wayne, MI

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Taxonomy Code 103TC0700X
Specialization Clinical
Display Name Clinical Psychologist
Taxonomy Group Behavioral Health & Social Service Providers
Taxonomy Classification Psychologist
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.
Effective Date September 30, 2009
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Psychologist Codes

Addiction (Substance Use Disorder) Psychologist

103TA0400X • providers: 623

Adult Development & Aging Psychologist

103TA0700X • providers: 215

Clinical Child & Adolescent Psychologist

103TC2200X • providers: 4,646

Cognitive & Behavioral Psychologist

103TB0200X • providers: 2,097

Counseling Psychologist

103TC1900X • providers: 7,770

Deactivated - Psychologist

103TE1000X • providers: 0

Deactivated - Psychologist Men & Masculinity

103TM1700X • providers: 0

Deactivated - Psychologist Psychotherapy

103TP2700X • providers: 0

Deactivated - Psychotherapy Women

103TW0100X • providers: 0

Exercise & Sports Psychologist

103TE1100X • providers: 92

Family Psychologist

103TF0000X • providers: 337

Forensic Psychologist

103TF0200X • providers: 765

Group Psychotherapy Psychologist

103TP2701X • providers: 552

Health Psychologist

103TH0004X • providers: 432

Health Service Psychologist

103TH0100X • providers: 828

Intellectual & Developmental Disabilities Psychologist

103TM1800X • providers: 886

Prescribing (Medical) Psychologist

103TP0016X • providers: 528

Psychoanalysis Psychologist

103TP0814X • providers: 325

Psychologist

103T00000X • providers: 49,470

Rehabilitation Psychologist

103TR0400X • providers: 714

School Psychologist

103TS0200X • providers: 8,926