| NPI | 1326434168 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE L MADDEN Licensed Clinical Psychologist 708-383-0729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006523) |
| Enumeration Date | 2015-04-08 |
| Last Update Date | 2015-04-08 |