NPI | 1518405059 |
---|---|
Entity Type | Organization |
Authorized Contact | PAUL T AMBLE Owner 203-245-1579 |
Organization Subpart ? | No |
Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: CT 0032040) |
Enumeration Date | 2017-02-04 |
Last Update Date | 2017-02-06 |