| NPI | 1972188241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA JUNE-SCHAPELER BERGEN President/Clinical Psychologist 773-512-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |