| NPI | 1487055521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT MOONEY Psychologist 315-342-5941 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 012205) |
| Enumeration Date | 2014-09-09 |
| Last Update Date | 2014-09-09 |