| NPI | 1568088771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN P CUMMINGS Psychologist 312-550-2705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| 252Y00000X Early Intervention Provider Agency | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |