NPI | 1184847279 |
---|---|
Former Legal Business Name | GERARD GIRDAUKAS PHD |
Entity Type | Organization |
Authorized Contact | GERARD J GIRDAUKAS Owner 847-615-1425 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071004103) |
Enumeration Date | 2007-04-10 |
Last Update Date | 2020-08-22 |