NPI | 1538178827 |
---|---|
Doing Business As | CLINTON THERAPY & TESTING CENTER |
Entity Type | Organization |
Authorized Contact | BRAD BENNETT Director 315-859-1973 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 8120-0) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2006-08-05 |
Last Update Date | 2020-08-22 |