| NPI | 1144523952 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL B EBERLIN Psychologist/Owner 631-670-6621 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 009143-1) |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2025-10-28 |