| NPI | 1669836144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE S. LEVINE Licensed Clinical Psychologist 773-413-8394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2021-07-26 |