| NPI | 1093839433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E PULS Clinical Psychologist 815-463-8805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-004026) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2020-08-22 |