| NPI | 1033434782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H. TAD TROUTMAN Clinical Psychologist 631-968-7700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017613) |
| Enumeration Date | 2010-04-06 |
| Last Update Date | 2010-11-16 |