| NPI | 1205000569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN MERLE SUSSMAN Authorized Official 203-517-8816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: CT 002767) |
| Enumeration Date | 2008-04-17 |
| Last Update Date | 2025-11-06 |