| NPI | 1235463845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN F. MICHAELIS President 203-216-2036 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 001477) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 001477) |
| Enumeration Date | 2009-09-29 |
| Last Update Date | 2009-09-29 |