NPI | 1558885681 |
---|---|
Entity Type | Organization |
Authorized Contact | RAINA V LAMADE President 631-748-7687 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
103TF0200X Psychologist, Forensic | |
Enumeration Date | 2017-07-31 |
Last Update Date | 2021-12-04 |