| NPI | 1538673421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEAGAN LEDUC-MEYER Clinical Psychologist/ Owner 860-206-4505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 003207) |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2017-11-30 |