| NPI | 1174923031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEREDITH L LYON Sole Member 518-915-1946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017869) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |