| NPI | 1194712596 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH COLEMAN SIEGEL President 203-333-1133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2005-09-30 |
| Last Update Date | 2008-08-01 |