| NPI | 1770758567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSON E HENRY Clinical Psychologist 773-507-6868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071005542) |
| Enumeration Date | 2008-04-23 |
| Last Update Date | 2008-04-23 |