NPI | 1518258904 |
---|---|
Entity Type | Organization |
Authorized Contact | RENEE A MCARDLE Licensed Clinical Psychologist 815-965-1817 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005330) |
Enumeration Date | 2011-04-20 |
Last Update Date | 2011-05-18 |