| NPI | 1730373382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOWARD K WEISSMAN Licensed Clinical Psychologist 847-412-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071004710) |
| Enumeration Date | 2007-08-28 |
| Last Update Date | 2007-08-28 |