| NPI | 1366581829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARVIN R COHEN Psychologist President Of Corp 708-386-7974 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL I1071003499) |
| Enumeration Date | 2007-02-05 |
| Last Update Date | 2007-08-22 |