| 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 |