NPI | 1518246255 |
---|---|
Doing Business As | BLACK BEAR ACADEMY |
Entity Type | Organization |
Authorized Contact | LORI G TALL Executive Director 312-285-2323 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
225XP0200X Occupational Therapist, Pediatrics | |
235Z00000X Speech-Language Pathologist, | |
252Y00000X Early Intervention Provider Agency (Licence: IL 060006146) | |
Enumeration Date | 2011-08-11 |
Last Update Date | 2021-01-11 |