NPI | 1326592221 |
---|---|
Entity Type | Organization |
Authorized Contact | RAINE L RIGGS Owner 802-275-8369 |
Organization Subpart ? | No |
Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
Enumeration Date | 2016-08-09 |
Last Update Date | 2016-08-09 |