| NPI | 1407193691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY W WELLES Psychologist 914-409-7632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NJ 35SI00169400) |
| Enumeration Date | 2013-01-09 |
| Last Update Date | 2013-01-09 |