| NPI | 1386097186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK THOMAS SCIARRINO President, Licensed Psychologist 773-245-3725 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008195) |
| Enumeration Date | 2016-07-15 |
| Last Update Date | 2016-08-15 |