| NPI | 1730656844 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN WROCKLAGE Owner 203-479-0554 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |