| NPI | 1518149509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER A. LUPEI Clinical Psychologist 708-524-0307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071002929) |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2007-11-30 |