| NPI | 1730227745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD H GRAYSON Director 203-262-4482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist (Licence: CT 002567) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: NY 015711-1) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2013-02-28 |