NPI | 1639535396 |
---|---|
Entity Type | Organization |
Authorized Contact | ALISSA LEVY CHUNG Clinical Psychologist/Owner 773-852-6910 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071006276) |
Enumeration Date | 2016-01-12 |
Last Update Date | 2016-01-12 |