Organization Name: | HARVEY M. WOLF, PSY.D., CSC, P.C. |
NPI Number: | 1053494062 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HARVEY M WOLF (PRESIDENT) |
Mailing Address: | 115 S Wilke Rd Suite 300 Arlington Hts |
State: | IL US |
Postal Code: | 600051532 |
Phone Number: | 8472592020 |
Fax Number: | 8472592078 |
NPI Enumeration Date: | 10/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |