NPI | 1598707952 |
---|---|
Entity Type | Organization |
Authorized Contact | PAMELA DEITER-SANDS Licensed Psychologist 860-633-7882 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CT 2083) |
Enumeration Date | 2006-06-11 |
Last Update Date | 2011-12-28 |