| NPI | 1558542936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER D PLASTARAS Licensed Clinical Psychologist 773-580-3879 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Enumeration Date | 2007-11-14 |
| Last Update Date | 2007-11-14 |