| NPI | 1255634002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARIEAHN AND WILLIAM MATAMONASA BENNETT Clinical Psychologist 630-305-6180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.007415) |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2010-12-17 |