| NPI | 1720409220 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA E MINER Owner 860-371-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 003120) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |