| NPI | 1447389762 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LEIGH DUVALL Owner 860-633-9491 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 1147) |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2020-08-22 |