NPI | 1962954495 |
---|---|
Doing Business As | PLUM TREE CHILD & ADOLESCENT PSYCHOLOGY |
Entity Type | Organization |
Authorized Contact | ANN WELLER Owner 630-549-6245 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: IL 071007631) |
Enumeration Date | 2016-11-01 |
Last Update Date | 2019-04-16 |