| NPI | 1023145562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD W ACKLEY Clinical Psychologist 708-203-6625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071003491) |
| Enumeration Date | 2007-02-28 |
| Last Update Date | 2020-08-22 |