| NPI | 1578693180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R BINDER Owner 262-691-2581 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 036-96922) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: WI 30357-020) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |