NPI | 1669878823 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN CHRISTIAN HARDIE President 312-810-5646 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103T00000X Psychologist |
Enumeration Date | 2014-11-14 |
Last Update Date | 2016-05-26 |