| NPI | 1003952110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN MCCANN Owner 516-823-0023 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: NY 015944) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 015944) |
| 103TF0200X Psychologist, Forensic (Licence: NY 015944) | |
| 103T00000X Psychologist (Licence: NY 015944) | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |