| Organization Name: | PSYCHOSOCIAL INTERVENTIONS, P.C. |
| NPI Number: | 1063576478 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | RONALD HENRY ROSENTHAL (CLINICAL PSYCHOLOGIST) |
| Mailing Address: | 977 Lakeview Pkwy Suite 1008 Vernon Hills |
| State: | IL US |
| Postal Code: | 600611400 |
| Phone Number: | 3126181921 |
| Fax Number: | 8478168881 |
| NPI Enumeration Date: | 12/20/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TB0200X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Cognitive & Behavioral |
| Taxonomy Definition: | |