| NPI | 1093526790 | 
|---|---|
| Doing Business As | STATPSYCH LLC | 
| Entity Type | Organization | 
| Authorized Contact | MEREDITH BAILEY Owner 203-308-5805  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health | 
| Enumeration Date | 2025-01-14 | 
| Last Update Date | 2025-01-14 |