| NPI | 1336307271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH E CONROY Director 843-271-3737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NJ SI00335600) |
| Enumeration Date | 2008-05-28 |
| Last Update Date | 2016-12-20 |