NPI | 1326263484 |
---|---|
Former Legal Business Name | LISA LAVELLA & ASSOCIATES LTD |
Entity Type | Organization |
Authorized Contact | LISA ANN LAVELLA Clinical Psychologist/President 630-217-9335 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 71007097) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2019-01-11 |