| NPI | 1356577530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SCOTT JOHNSON Psychologist Prersident 203-748-8515 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2009-06-02 |