| NPI | 1609042621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE PHUNG President 800-275-3243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NY 016099-1) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |