THE PRAIRIE CLINIC NPI 1184863847

NPI Details

THE PRAIRIE CLINIC is a clinical child and adolescent psychologist in Geneva, IL. The provider is a psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents. THE PRAIRIE CLINIC NPI is 1184863847. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1541 E FABYAN PKWY
SUITE 101
GENEVA, IL
ZIP 60134-105
Phone: (630) 845-9644
Fax: (630) 845-9678

The provider's authorized official is Stacey M Wahlberg .
The authorized official title is Office Manager and has the following contact phone number (630) 845-9644.

The enumeration date for this NPI number is 2/19/2009 and was last updated on 2/19/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: