| NPI | 1396991956 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATY JIMENEZ Sr Director Of Operations 203-272-6007 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 001864) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: CT 002206) |
| 103G00000X Clinical Neuropsychologist (Licence: CT 002847) | |
| Enumeration Date | 2008-08-14 |
| Last Update Date | 2024-11-21 |