| NPI | 1104503473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GABRIELLE PATTERSON-HYATT Clinical Psychology Director And CEO 347-266-6748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 103TB0200X Psychologist Cognitive & Behavioral |
| 103TH0004X Psychologist Health | |
| 103T00000X Psychologist | |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2023-06-29 |