| NPI | 1275738130 |
|---|---|
| Doing Business As | SHARED VISION PSYCHOLOGICAL SERVICES, DBA PEDIATRIC PSYCHOLOGY ASSOC. |
| Entity Type | Organization |
| Authorized Contact | MYRA M. LAWRENCE CEO 630-571-1110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2013-02-25 |