| NPI | 1124363171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY K BERKOWITZ Owner 203-693-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CT 028024) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| 103TC0700X Psychologist, Clinical | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SA2200X Clinical Nurse Specialist, Adult Health | |
| Enumeration Date | 2012-12-03 |
| Last Update Date | 2012-12-03 |