| NPI | 1447440813 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS A MALTBY President 860-269-7813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 002464) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CT 002464) |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CT 2956) | |
| 103TC0700X Psychologist, Clinical (Licence: CT 2956) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CT 2878) | |
| 103TC0700X Psychologist, Clinical (Licence: CT 2878) | |
| 103TC0700X Psychologist, Clinical (Licence: CT 3623) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CT 3623) | |
| 103TC0700X Psychologist, Clinical (Licence: CT 3478) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CT 3478) | |
| 103TC0700X Psychologist, Clinical (Licence: CT 2528) | |
| 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CT 2528) | |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2017-03-15 |