| NPI | 1386969582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNE SMITH Psychologist 860-567-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: CT 002780) |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |