| NPI | 1407040942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE L LIVINGSTON President 312-907-3644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071004339) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 20041831A) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |