| NPI | 1164932786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDAN O'CONNOR Psychologist 860-707-9115 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 022206) |
| Enumeration Date | 2017-10-10 |
| Last Update Date | 2022-08-08 |