NPI | 1790960763 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID ALAN NIEKAMP Clinical Psychologist 630-377-1695 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 071-006642) |
Enumeration Date | 2008-01-08 |
Last Update Date | 2008-01-08 |