| NPI | 1558171140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JOHN MORAN Licensed Clinical Psychologist 312-952-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2025-01-07 |
| Last Update Date | 2025-01-07 |