DR. Damita Sunwolf Larue, PSYD, FT, CCISM is a clinical psychologist in Chicago, IL with 8 years of experience. The provider is 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. DR. Damita Sunwolf Larue, PSYD, FT, CCISM NPI is 1194272211. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
5547 N RAVENSWOOD AVE STE 103
CHICAGO, IL
ZIP 60640-125
Phone: (773) 609-2069
The NPI 1194272211 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Psychotherapy, 60 minutes (HCPCS:90837)
- Psychiatric diagnostic evaluation (HCPCS:90791)
The enumeration date for this NPI number is 9/7/2016 and was last updated on 8/6/2020.