| NPI | 1497295307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY S RAY President/Clinical Psychologist 773-505-2755 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071-006704) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |