| NPI | 1942005160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARISSA HARVEY Licensed Clinical Neuropsychologist 847-450-7193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2025-02-13 |
| Last Update Date | 2025-04-10 |