NPI | 1255606406 |
---|---|
Entity Type | Organization |
Authorized Contact | ANDREA GRUNBLATT President 845-418-5885 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016158) |
Enumeration Date | 2012-03-20 |
Last Update Date | 2012-03-20 |