| NPI | 1346462850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA LYNNE ROGERS President Clinical Psychologist 309-648-9587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006198) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2007-08-27 |