| NPI | 1053773226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID CHARLES USNDEK Owner/Psy.D 773-450-8049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: AZ 4703) |
| Enumeration Date | 2016-03-25 |
| Last Update Date | 2026-04-15 |