| NPI | 1053771196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA NEDELISKY Managing Member 917-331-1503 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CA PSY26298) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CA PSY26298) |
| Enumeration Date | 2016-03-02 |
| Last Update Date | 2016-03-02 |