| NPI | 1265873533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET MARIE BERTOLDI Director 203-912-6943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CT 002500) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-08-01 |