NPI | 1770615502 |
---|---|
Doing Business As | PSYCHOLOGICAL SERVICES CENTER |
Entity Type | Organization |
Authorized Contact | BRENDA JANE HUBER Clinical Psychologist 309-438-5629 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071.006825) |
Enumeration Date | 2007-03-09 |
Last Update Date | 2020-08-22 |