NPI | 1063067866 |
---|---|
Entity Type | Organization |
Authorized Contact | CORRIE A GOLDBERG Licensed Clinical Psychologist 630-362-0129 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical |
Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral |
103TC2200X Psychologist, Clinical Child & Adolescent | |
Enumeration Date | 2019-08-08 |
Last Update Date | 2019-08-08 |