| NPI | 1558787176 |
|---|---|
| Former Legal Business Name | SIMSBURY PSYCHOTHERAPY, LLC |
| Entity Type | Organization |
| Authorized Contact | SARAH J GAMBLE Owner 860-989-7687 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CT 1811) |
| Enumeration Date | 2014-03-06 |
| Last Update Date | 2014-03-06 |