| NPI | 1053686717 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL PASULKA Licensed Clinical Psychologist 312-266-2136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: IL 071000013) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071000013) |
| Enumeration Date | 2012-03-14 |
| Last Update Date | 2012-03-14 |