NPI | 1174749881 |
---|---|
Entity Type | Organization |
Authorized Contact | MELISSA FISHER PAONI Partner 217-793-3949 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006429) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IL 071003515) |
103TC0700X Psychologist, Clinical (Licence: IL 071002838) | |
103TC0700X Psychologist, Clinical (Licence: IL 071005516) | |
1041C0700X Social Worker, Clinical (Licence: IL 149008476) | |
Enumeration Date | 2007-04-18 |
Last Update Date | 2017-01-12 |