| NPI | 1447772033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELICIA GLENN GERROL Clinical Psychologist 518-221-8518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 011469) |
| Enumeration Date | 2017-07-14 |
| Last Update Date | 2023-07-12 |