NPI | 1104682129 |
---|---|
Entity Type | Organization |
Authorized Contact | POOJA SHAH Clinical Psychologist 630-747-4092 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) |
103TA0700X Psychologist Adult Development & Aging | |
103TB0200X Psychologist Cognitive & Behavioral | |
103TC0700X Psychologist Clinical | |
103TC1900X Psychologist Counseling | |
103TF0000X Psychologist Family | |
103TH0004X Psychologist Health | |
Enumeration Date | 2024-02-27 |
Last Update Date | 2024-02-27 |