| NPI | 1043723448 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA ADDINGTON Licensed Clinical Psychologist 860-999-2651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 003200) |
| Enumeration Date | 2017-11-08 |
| Last Update Date | 2017-11-08 |