| NPI | 1134719313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY NELSON Licensed Clinical Psychologist 630-768-5698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TA0700X Psychologist Adult Development & Aging |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2021-01-21 |