| NPI | 1659627206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE SURBAUGH Psychologist And Owner 917-974-6733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: NY 017851) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2012-11-07 |