NPI | 1285766535 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY SUSZKO BROWN Psychologist President 708-955-8070 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 071005567) |
Enumeration Date | 2007-03-12 |
Last Update Date | 2011-08-09 |