| NPI | 1578937314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL LOOMIS Licensed Psychologist 607-373-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 019657) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |