NPI | 1013488170 |
---|---|
Doing Business As | ELENI S. LIOSSIS, PSY.D. |
Entity Type | Organization |
Authorized Contact | SANDRA PENNWAY Billing, Credentialing Manager 708-409-5066 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2018-12-16 |
Last Update Date | 2018-12-16 |