| NPI | 1568282069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PALUMBO Licensed Clinical Psychologist 872-272-7575 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2024-10-10 |
| Last Update Date | 2024-10-10 |