| NPI | 1457676322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA LOUISE HOLLY Clinical Psychologist 773-680-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| Enumeration Date | 2010-04-02 |
| Last Update Date | 2018-03-17 |