| NPI | 1326572991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SERA KATHLEEN LAVELLE Clinical Psychologist 646-537-1713 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 021126) |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |