| NPI | 1275993636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE M REYNOLDS Psychologist 203-376-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: CT 002786) |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2016-02-29 |