NPI | 1326440454 |
---|---|
Doing Business As | MINDFUL PSYCHOLOGY ASSOCIATES PC |
Entity Type | Organization |
Authorized Contact | JENNIFER C. PANNING President 847-864-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist Clinical |
Additional Taxonomies | 103T00000X Psychologist (Licence: IL 71-006778) |
Enumeration Date | 2014-09-19 |
Last Update Date | 2022-04-06 |