| NPI | 1548356371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD LAWRENCE WHITE Clinical Psychologist 773-502-5950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071002397) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2008-01-23 |