Taxonomy Code 103TC0700X(103tc0700x)
Clinical Psychologist. Providers: 15

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Clinical Psychologist Providers

NPI Name Type Address

1508191990

DR. PSY.D., ABPP David S Tubman

Individual

Whasc, 1100 Wilford Hall Loop

Jbsa-lackland, TX

1326022864

DR. PSYD Samantha Timm

Individual

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX

1700284916

PHD Jeffery Scott Martin

Individual

1025 Femoyer St Bldg 10908

Jbsa Lackland, TX

1518156165

DR. PH.D. Darlene Annette Wright

Individual

1100 Wilford Hall Loop

Bldg 4554

Jbsa Lackland, TX

1568670511

DR. PH.D. Maryann Wasileski

Individual

1515 Truemper St

Jbsa Lackland, TX

1043380116

DR. PH.D Mario George Nicolas

Individual

1100 Wilford Hall Loop, Bldg 4554

Attn: 59 Mdw/sghc

Jbsa Lackland, TX

1134511124

DR. PHD Edny Joseph Bryant

Individual

1100 Wilford Hall Loop, Bldg 4554

Attn: 59 Mdw/sghc

Jbsa Lackland, TX

1861731077

DR. PSY.D. Marylene Goode

Individual

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX

1487052486

DR. PHD Zachary Fetterman

Individual

1100 Wilford Hall Loop, Bldg 4554

Attn: 59 Mdw/sghc

Jbsa Lackland, TX

1215231626

DR. PHD Elise Marie Ocelnik

Individual

1100 Wilford Hall Loop, Bldg 4554

Attn: 59 Mdw/sghc

Jbsa Lackland, TX

1154777241

DR. PSYD Chase Alan Aycock

Individual

1100 Wilford Hall Loop

Jbsa Lackland, TX

1972167161

DR. PHD Jordan Michael Ellis

Individual

1100 Wilford Hall Loop

Bldg. 4554, 59 Mdw/gme, Jbsa Lackland

Jbsa Lackland, TX

1538635016

DR. PSYD Cyanela Maria Hernandez Borrero

Individual

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX

1306919840

DR. PHD Benjamin Aguilar

Individual

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX

1932507670

PSYD Lorenzo Aranda

Individual

1100 Wilford Hall Loop Bldg 4554

Jbsa Lackland, TX

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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