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 |