| NPI | 1336672872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON BONDANZA Clinical Psychologist 347-301-4399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005348) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |