| NPI | 1285967992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG WILLIAM CYPHER President 585-233-5591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 016330) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 016330) |
| 103TE1100X Psychologist, Exercise & Sports (Licence: NY 016330) | |
| Enumeration Date | 2009-09-13 |
| Last Update Date | 2009-09-13 |