| NPI | 1417400946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVE MARTINO Chief Of Psychology 203-932-5711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 3546) |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2016-08-02 |