| NPI | 1295194546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH E BULLARD Ph D 860-230-8851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 0002504) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-02-15 |