| NPI | 1225260813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN B VAN ALPHEN Clinical Psychology Post Doc Fellow 312-513-8505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2009-08-14 |