| NPI | 1154571255 |
|---|---|
| Doing Business As | LAKESHORE PSYCHOTHERAPY ALLIANCE |
| Entity Type | Organization |
| Authorized Contact | LAURIE JPAN BELZER President 773-529-6464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005119) |
| Enumeration Date | 2008-09-25 |
| Last Update Date | 2008-09-25 |