NPI | 1457420358 |
---|---|
Entity Type | Organization |
Authorized Contact | LEANNE N RODGERS Clinical Psychologist 773-294-6881 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.006113) |
Enumeration Date | 2006-11-06 |
Last Update Date | 2010-03-05 |