| NPI | 1235320334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT THEODORE WELSCH President 815-954-6664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071.007316) |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2007-08-05 |