NPI | 1881018984 |
---|---|
Entity Type | Organization |
Authorized Contact | GWENDOLYN MESSER Medical Director 312-726-4011 |
Organization Subpart ? | Yes |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
103T00000X Psychologist | |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TC0700X Psychologist, Clinical | |
103TC1900X Psychologist, Counseling | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities | |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2014-02-10 |
Last Update Date | 2014-11-18 |