NPI | 1093242091 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSE DANIEL CHASMAN Director 860-997-4723 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: SC 1449) |
Enumeration Date | 2017-05-22 |
Last Update Date | 2017-05-22 |