| NPI | 1184776593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY J. MAGNAVITA Psychologist 860-659-1202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 1008) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2020-08-22 |