| NPI | 1689140121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANJALI PALAV Owner 401-525-6987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC2200X Psychologist, Clinical Child & Adolescent |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |