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 |