Search › Illinois › Clinical Psychologist
Ethan Stark, PSYD
NPI 1730607771 · on the registry since 2017 · sole proprietor
Practice
- Address
- 3580 W Medill Ave Apt 2
Chicago, IL 60647 - Phone
- (608) 335-6705
Registry record
- Primary taxonomy
- Clinical Psychologist
103TC0700X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2023-06-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois