| NPI | 1861108490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA TENCER President 773-243-4054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103TE1100X Psychologist, Exercise & Sports |
| 103TP0814X Psychologist, Psychoanalysis | |
| 103TF0000X Psychologist, Family | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| Enumeration Date | 2023-01-26 |
| Last Update Date | 2025-10-03 |