| NPI | 1235272725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSIE VEGA HINSON Owner & Clinical Psychologist 203-313-2635 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist Cognitive & Behavioral (Licence: CT 002639) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: CT 002639) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: CT 002639) | |
| 103TP2701X Psychologist Group Psychotherapy (Licence: CT 002639) | |
| 106H00000X Marriage & Family Therapist (Licence: CT 002639) | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-07-31 |