| NPI | 1467994053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER WIMSATT CHILDS Psychologist 860-785-0870 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 8.003495) |
| Enumeration Date | 2016-11-14 |
| Last Update Date | 2019-05-22 |