| NPI | 1750722393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY SCHIFFNER Psychologist 217-766-8273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL L11000106356) |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |