| NPI | 1326373267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON RICHARD FREDENBERG President 914-475-7763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 015573) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |