Organization Name: | I THINK I CAN LEARNING CENTER, INC. |
NPI Number: | 1356562409 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA GRYBINAS (OWNER) |
Mailing Address: | 125 N Ruby Ln Fairview Heights |
State: | IL US |
Postal Code: | 622081926 |
Phone Number: | 6183984226 |
Fax Number: | 6183981759 |
NPI Enumeration Date: | 05/02/2007 |
NPI Last Update Date: | 04/20/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |