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 |