| NPI | 1609670678 |
|---|---|
| Former Legal Business Name | SELF MADE PSYCHOLOGICAL SERVICES PLLC |
| Entity Type | Organization |
| Authorized Contact | LAUREL WRIGHT Owner 773-220-3537 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-04-01 |
| Last Update Date | 2025-04-04 |