| NPI | 1285878306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD BRENT FARNSWORTH Sole Proprietor 203-787-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002055) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2009-04-21 |