| NPI | 1588094254 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINSEY KAUFMAN JOHNSON Clinical Psychologist 773-592-6207 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071007876) |
| Enumeration Date | 2013-11-18 |
| Last Update Date | 2013-11-18 |