| NPI | 1801286752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANA STOWITZKY Clinical Psychologist 312-316-1391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL 8475) |
| Enumeration Date | 2015-01-30 |
| Last Update Date | 2015-01-30 |