NPI | 1154970291 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA RANKIN Owner 773-669-4716 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101YP2500X Counselor, Professional |
103TA0700X Psychologist, Adult Development & Aging | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC2200X Psychologist, Clinical Child & Adolescent | |
103TF0000X Psychologist, Family | |
103TP2701X Psychologist, Group Psychotherapy | |
1041C0700X Social Worker, Clinical | |
103TH0004X Psychologist, Health | |
Enumeration Date | 2019-09-11 |
Last Update Date | 2019-09-11 |