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 |