| NPI | 1578641163 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH SCOTT Partner 773-472-7646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004551) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |