| NPI | 1093218737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE LYNN SPITALLI President 815-933-7887 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071005739) |
| Enumeration Date | 2018-03-08 |
| Last Update Date | 2018-03-08 |