| NPI | 1215211719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS H GRANT Clinical Psychologist 845-256-9528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 011779) |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2011-10-03 |