| NPI | 1366897134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL R MEAGER Owner & Founding Director 646-543-4467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: NY 020276) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 020276) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: NY 020276) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: NY 020276) | |
| 103TC0700X Psychologist, Clinical (Licence: NY 020276) | |
| 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: NY 020276) | |
| 103TF0200X Psychologist, Forensic (Licence: NY 020276) | |
| 103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: NY 020276) | |
| Enumeration Date | 2016-04-29 |
| Last Update Date | 2016-04-29 |