| NPI | 1003143298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN J RICHARDSON Owner/ Psychologist 847-650-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 71004102) |
| Enumeration Date | 2009-11-09 |
| Last Update Date | 2010-10-28 |