NPI | 1396094959 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES RAYMOND MATTER President 630-778-9050 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071008340) |
Enumeration Date | 2012-08-29 |
Last Update Date | 2012-08-29 |