Year IL DJ File No.A.ISA0 No. 9. Contractor (Name and Tel.) Anna Salter Ph .D. Telephone: 10. Contractor M ill A 1 1 . Contractor TIN or SSN (IntRvidual) 12. Contractor specialty Licensed Psychologist NRHCP 13. Reason for Request (Place an '1C In the applicable Box in the Left Column) 13.a. Expert