| NPI | 1528579398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH COURTNEY-SEIDLER Licensed Clinical Psychologist 203-297-8583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: CT 3604) |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |