| NPI | 1437260015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA PAVLOU Clinical Psychologist 312-346-7733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IL 711959) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-11-26 |