| NPI | 1487989984 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET C WATERHOUSE Original Member 917-239-7792 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 017956) |
| Enumeration Date | 2009-10-16 |
| Last Update Date | 2009-10-16 |