Organization Name: | THERAPY 4 KIDZ |
NPI Number: | 1043550338 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTINE MATUSEK (SOLE PROPRIETOR) |
Mailing Address: | 100 N Atkinson Rd Ste 112g Grayslake |
State: | IL US |
Postal Code: | 600307805 |
Phone Number: | 7733153114 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2013 |
NPI Last Update Date: | 02/22/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 149012630 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |