| NPI | 1144971300 |
|---|---|
| Doing Business As | PATRICK R. GUNDERSON, PH.D. |
| Entity Type | Organization |
| Authorized Contact | PATRICK R GUNDERSON Clinical Psychologist 847-778-7365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2022-01-10 |